Get Refer To The Hospital Discharge Summary Form Instructions For Information On How To Complete This

This guide provides step-by-step instructions for users on how to accurately complete the Refer To The Hospital Discharge Summary Form online. By following these instructions, users can ensure that all necessary information is captured for a smooth discharge process.

Follow the steps to accurately complete the form.

1. Press the ‘Get Form’ button to access the form and open it in your browser.
2. In Section I, provide the member’s full name and identification number. Include the names and contact details of the case manager, primary care provider, and the facility name.
3. In Section II, enter the date when the services should officially end.
4. Section III consists of several elements that need to be verified before discharge. Ensure that all applicable notes, plans, and therapy information are documented. Check the box next to each relevant element.
5. For Section IV, select the appropriate Medicare Coverage Policies. Make sure to list any specific managed care policies, if applicable, and note any other relevant policies.
6. In Section V, provide a detailed account of the patient’s current medical condition. This includes the admission date, presenting symptoms, diagnosis, treatment administered, test results, evaluations by providers, and follow-up care plans.
7. In Section VI, print your name, sign the form, and include your contact phone number and fax number for follow-up.
8. Once all sections are complete, save any changes to the form. You may also download, print, or share the completed form securely.

Complete your documents online for a streamlined discharge process.