Get Irf Pai Training Manual 2012 Form

This guide provides comprehensive and user-friendly instructions for completing the Irf Pai Training Manual 2012 Form online, ensuring a clear understanding of each component. Properly filling out this form is essential for accurate patient assessments and adequate reimbursement.

Follow the steps to fill out the Irf Pai Training Manual 2012 Form confidently and accurately.

1. Click the ‘Get Form’ button to access the form and open it in your online editor.
2. Fill in the Facility Information section, which includes the facility name and Medicare provider number.
3. Enter the patient’s Medicare and Medicaid numbers, followed by their personal identification information such as first and last name.
4. Input the patient's birth date, social security number, gender, race/ethnicity, and marital status.
5. Complete the Payer Information section by selecting the primary and secondary payment sources.
6. For Admission Information, fill in the admission date and assessment reference date.
7. Indicate the admission class by selecting among the provided options, and state the admit from setting.
8. Provide details about the patient's pre-hospital living conditions and their employment status before hospitalization.
9. Fill out the Medical Information section, including impairment group code and etiologic diagnosis.
10. Enter the comorbid conditions using the appropriate ICD-9-CM codes.
11. Complete the sections on Medical Needs and Quality Indicators, noting that some items are voluntary.
12. Finish by inputting the FIM scores and quality indicators for each relevant section.
13. Review all information for accuracy and completeness before final submission.
14. Save changes, download, print, or share the completed form as needed.

Complete your documents online today for a smoother, more efficient patient assessment process.