Get Homehealthweknowarkansasorg Form

Completing the Homehealthweknowarkansasorg Form online is a crucial step for agencies providing home health services in Arkansas. This guide will walk you through each section of the form, ensuring that you have the necessary information to complete it accurately and efficiently.

Follow the steps to complete the form successfully.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin by entering the agency name and address on page 1. Only include the name and location of the licensed agency in Arkansas.
3. In the section for the number of branch offices, specify the total number of branch locations of the agency as of December 31 of the report year.
4. Indicate the county served by entering the appropriate county name. Note that each county served requires a separate report.
5. Enter the number of operational days for your agency during the survey year. The maximum value is typically 365 days.
6. Complete the unduplicated admissions section by noting the total number of individuals receiving services by category for the report year, counted only once.
7. Fill in the admissions section by listing the total admissions during the report year, ensuring that multiple admissions for the same individual are counted separately.
8. Record the total number of visits or units of service provided, including all client contact regardless of the visit duration.
9. For each applicable section, diligently report the number of Medicare clients, including both fee-for-service and Medicare HMO patients.
10. Review and confirm all entered data, ensuring that your totals are accurate both horizontally and vertically across all sections.
11. Once completed, save your changes and utilize the platform's features to download, print, or share the form as needed.

Complete the Homehealthweknowarkansasorg Form online today and ensure your agency's services are accurately reported.