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  • Mental Health Discharge Summarybilling Form - Cchealth

Get Mental Health Discharge Summarybilling Form - Cchealth

CLIENT NAME/MRN MENTAL HEALTH SERVICES MENTAL HEALTH DISCHARGE SUMMARY/BILLING FORM DATE: RU#: CODE ACTIVITY: 315 571 364 540 PD CMPD MD PD NonBill MHS STAFF #: HOURS: MINUTES: LOCATION: 1 Office.

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How to fill out the mental health discharge summary/billing form - Cchealth online

Filling out the mental health discharge summary/billing form is an essential step in providing a comprehensive overview of a person's mental health treatment and discharge specifics. This guide will walk you through the process of completing the form online, ensuring that you provide all required information accurately and efficiently.

Follow the steps to complete the form successfully.

  1. Press the ‘Get Form’ button to obtain the mental health discharge summary/billing form and open it in your preferred online editor.
  2. Begin by filling in the date at the top of the form. This is the date of discharge which is important for records.
  3. Complete the RU# field, which is the unique reference number assigned to this case.
  4. Select the appropriate code activity from the listed options based on the services provided. Ensure you mark only one option.
  5. Enter your staff number and the time spent in hours and minutes on the client's treatment.
  6. Specify the location of service — select from the office, field, phone, home, or school as applicable.
  7. In the discharge diagnosis section, write the diagnosis given to the individual being discharged.
  8. Outline the course of treatment by providing details in the designated fields regarding the opening and closing dates, referral source, discharge medications, allergies, and outcome highlights.
  9. Discuss discharge plans, including recommendations for future care, potential future problems, and any referrals to other services.
  10. Provide the date, your signature, and your license/title at the bottom of the form. If a co-signature is required, ensure that it is filled out as well.
  11. Review all entered information for accuracy before saving. You can then choose to save changes, download, print, or share the completed form as needed.

Proceed to fill out your mental health discharge summary/billing form online to ensure a smooth transition for your clients.

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Cynthia BELON - Behavioral Health Services Director - Contra Costa County | LinkedIn.

General Info. Director. William Walker, MD. HCH Coordinator. Alvin Silva, RN, PHN. Medical Director. Nishant Shah, MD, MPH. ... Contact Info. Phone Number. (925) 313-6166. Fax Number. (925) 313-6188. Email. ... Address. Physical Address. 597 Center Avenue, Suite 150. Martinez, CA 94553. To navigate, press the arrow keys.

Anna M. Roth, RN, MS, MPH, is the CEO of Contra Costa Regional Medical Center and Health Centers, a public hospital system in the San Francisco Bay Area.

The discharge summary is essentially the last opportunity the therapist has to justify the medical necessity of the treatments that were rendered during this episode of care. Therefore, additional relevant information may also be included in the report at the discretion of the therapist.

Gerold Loenicker - Mental Health Program Chief - Contra Costa County | LinkedIn.

Samir B. Shah, M.D., F.A.C.S. is the Chief Executive of Contra Costa Regional Medical Center, Health Centers and Detention Health (CCRMC). A 16-year veteran of CCRMC, Dr. Shah, also serves as the Chief Medical Officer of CCRMC.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232