Get Meps, Mpc-institutional Event Form (non-hospital ... - Meps Ahrq

The MEPS, MPC-Institutional Event Form (Non-Hospital) is an essential document for reporting medical expenditures and stays in non-hospital facilities. This guide will provide you with step-by-step instructions on how to accurately complete each section of the form.

Follow the steps to fill out the MEPS, MPC-Institutional Event Form (Non-Hospital)

1. Use the ‘Get Form’ button to download the form and open it in your preferred document editor.
2. Begin with questions 1 through 3, which need to be completed based on medical records. Record the admit and discharge dates of the patient's stay by entering the month, day, and year in the designated fields.
3. For question 2a, list the diagnoses for this stay, preferring ICD-9 codes. If those are unavailable, describe them in the space provided. For question 2b, indicate which diagnosis is the principal one by checking the corresponding box.
4. In question 3, provide the names, specialties, and contact information of any physicians who provided services during the stay. Ensure that only physicians not included in the facility's bill are mentioned.
5. Proceed to questions 4a and 4b to confirm if all of the patient's stays during the reference year have been recorded. If there are additional stays, note this down for further documentation.
6. Questions 5 through 21 focus on patient accounts and need to be completed based on consultations with financial records. Record the reimbursement information, payment sources, and any adjustments or discounts that apply.
7. In this section, you will document billing periods and any ancillary charges. It is crucial to specify how many days the patient was charged and the relevant payments received through various sources.
8. Complete the form by reviewing all records; ensure all sections are filled accurately. Once done, you can save your changes, download, print, or share the completed form as needed.

Now that you have the guidance, take the necessary steps to fill out the MEPS, MPC-Institutional Event Form (Non-Hospital) online.