Get Mns Is Committed To Serving Our Facilities In The Best - Forms Petersenhealthcare

Filling out the MNS Is Committed To Serving Our Facilities In The Best - Forms Petersenhealthcare is a vital step in ensuring timely precertification for patients. This guide provides detailed instructions to help users navigate the form easily and efficiently.

Follow the steps to accurately complete the precertification form.

1. Click 'Get Form' button to obtain the form and open it in the online editor.
2. Begin by entering the patient’s name in the designated field. Ensure that the name is spelled correctly to avoid any discrepancies.
3. Input the patient’s date of birth (DOB) accurately in the format specified on the form.
4. Fill in the name of the admitting facility. This should be the hospital or healthcare center where the patient will be receiving care.
5. Provide the facility’s phone number, ensuring that it is a direct line to the appropriate department.
6. Enter the name of the facility contact person. This should be someone who can provide additional information if needed.
7. Check the anticipated date of admission to the facility and fill it in the designated area.
8. Gather and include the most current History and Physical (H & P) report. Make sure this is the latest document available.
9. List the name and details of the physician treating or covering the patient at the skilled nursing facility (SNF), including their full name, address, phone number, and NPI number.
10. Attach the most recent therapy notes, ensuring they are dated within the past 24 hours. Be comprehensive with prior levels of function and assistance needed.
11. Document any intravenous medications (IV meds), total parenteral nutrition (TPN), or injections ordered for the SNF.
12. Provide a thorough description of any wounds, specifying location, stage, measurements, treatment orders, and Wound VAC details if applicable.
13. Compile the respiratory report, including ventilation settings, tracheostomy suctioning frequency, weaning orders, and oxygen needs.
14. If applicable, include nutrition orders for PEG feeding tubes.
15. Review the checklist and ensure you do not send prohibited documents such as operative notes, medication administration records, fall risk assessments, or multiple consults.
16. Remember to send only one patient per fax in compliance with HIPPA regulations. Ensure that your submission does not exceed 12 pages.
17. Fax the completed information to Care Coordination at the provided fax number.
18. Finally, ensure all changes are saved if necessary, and confirm that the fax has been sent successfully.

Get started today by completing the MNS Is Committed To Serving Our Facilities In The Best - Forms Petersenhealthcare online!