Get Snf Discharge Survey

Filling out the Snf Discharge Survey online is a straightforward process that enables users to submit important discharge information efficiently. This guide will walk you through each section of the survey to ensure accurate and complete submissions.

Follow the steps to complete the Snf Discharge Survey online.

1. Press the ‘Get Form’ button to access the Snf Discharge Survey and open it in your preferred editor.
2. Begin with Section I. Enter the member’s full name along with their Tufts Health Plan Medicare Preferred member ID number. Include the name, phone number, and fax number of the Case Manager or Delegated Case Manager (CM/DCM). Also, record the primary care provider's name and their Medical Group/IPA number. Lastly, provide the names and contact information for the facility or provider and the attending physician.
3. Proceed to Section II. Indicate the type of service the member is being discharged from by marking the appropriate box for Skilled Nursing Facility (SNF), Home Health Agency (HHA), or Comprehensive Outpatient Rehabilitation Facility (CORF). Document the planned discharge date and the date the Notice of Medicare Non-Coverage (NOMNC) was issued, along with the name of the individual who received the NOMNC.
4. In Section III, verify that all required elements are documented in the member's record. Ensure that the decision for discharge is well-supported, indicating that skilled care is no longer needed and that the member is prepared to move to the next level of care.
5. For Section IV, use full sentences and clear language. Begin by recording the admission date, the origin of the member's transfer, and the reason for admission. Outline the member’s prior functional level, including aspects like personal care and living situation prior to admission.
6. Detail the evaluations performed on the member, including input from nursing staff, physicians, and licensed therapies. Document the specifics of the skilled treatment plan, including nursing and rehabilitation therapy details, and list the therapy goals set for discharge.
7. Include the member's current status in relation to their admission reasons, addressing any barriers to reaching discharge goals and the revised discharge plan based on new functional status.
8. Indicate the location the member will be discharged to and specify the next level of care. Finalize Section IV by recording the discharge plan and any follow-up care required.
9. Complete the form by entering your name as the individual completing the survey, followed by your signature and contact number.

Take action now and complete the Snf Discharge Survey online to ensure timely discharge processing.