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Get Mi Bcbs Acute Inpatient Assessment Form 2013
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How to fill out the MI BCBS Acute Inpatient Assessment Form online
Completing the MI BCBS Acute Inpatient Assessment Form online is an essential step in ensuring proper documentation for care and reimbursement. This guide will provide you with clear and comprehensive instructions to navigate the form effectively.
Follow the steps to complete the assessment form efficiently.
- Click 'Get Form' button to obtain the form and open it for completion.
- Begin by entering the patient information. Fill in the patient's name, date of birth, policy number, and contact details, ensuring all fields are legible.
- Proceed to the precertification section. Indicate the type of admission by selecting from ER admit, direct admit, elective admit, or observation. Fill in the estimated length of stay and admission date.
- In the surgical admissions section, provide any surgical procedure details and corresponding CPT codes, including the surgery date. If there are no surgical admissions, indicate this accordingly.
- For medical admissions, enter the admitting diagnosis along with the ICD9 codes. Additionally, document the patient's height and weight.
- Complete the admission assessment and treatment details. This includes vital signs such as BP, heart rate, respiratory rate, and temperature.
- In the medical history section, provide information about co-morbidities and any relevant family history.
- Document pertinent lab and imaging results as well as the current treatment plan and medications.
- Evaluate skin status, noting any wounds or incisions, their sizes, and treatments required. Provide pain status details, including location, intensity rating, and effectiveness of pain medications.
- If required, request case management assistance for discharge planning and provide necessary information regarding discharge plans and support systems.
- Finally, review all filled-out sections for accuracy, save your changes, and prepare to download or print the completed form.
Complete your forms online today for efficient documentation and processing.
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The timely filing limit for BCBS Michigan typically requires that claims be submitted within a designated timeframe, often around 90 days from the date of service. Knowing this limit is crucial to ensure that your claims are processed without delay. For inpatient services, keep in mind the role of the MI BCBS Acute Inpatient Assessment Form in streamlining your claims process.
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