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E assessment record. X1 indicates it is a correction request form to inactivate a record. 12 3 14 All caps, left justified, REQUIRED 1 15 15 All caps, left justified, 18 16 33 All caps, left justified, REQUIRED All caps, left justified, If rec id X1 then AT2 2. If AT2 2 then rec id can not be X1. 2 AA1 f A12 First name 3 AA1 m A1 Middle initial 4 AA1 l A18 Last name 5 AA1 s A3 Name suffix 3 34 36 6 AA2 A1 Gender 1 37 37 1,2,- 7 AA3 A8 Birthdate 8 38.

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How to fill out the MDS-RCA Assessment Tracking Specifications online

The MDS-RCA Assessment Tracking Specifications is a crucial document for tracking assessments in various healthcare settings. This guide provides a step-by-step approach to help users effectively fill out the form online, ensuring accurate and complete submissions.

Follow the steps to successfully complete the online form.

  1. Click ‘Get Form’ button to obtain the MDS-RCA Assessment Tracking Specifications form and open it in your preferred editor.
  2. Begin with the Record Identifier (rec_id) field. Fill in the appropriate code based on the status of the assessment record. Use 'B1' for active assessments and 'X1' for inactivation requests.
  3. Complete the first name, middle initial, last name, and name suffix fields. Ensure that these are entered clearly in uppercase letters and left-justified.
  4. Provide gender information in the gender field, using '1' for male and '2' for female as appropriate.
  5. Enter the birthdate in the specified format (YYYYMMDD). Ensure that the birthdate is valid according to the dates provided elsewhere in the form.
  6. Continue filling out personal information, including race, Social Security Number, and Medicare number. Follow the instructions regarding valid formats and required fields.
  7. Confirm facility information such as facility name and provider number, ensuring they are correctly formatted and entered.
  8. Document any applicable dates such as date of entry and tracking completion date, making sure they adhere to the prescribed requirements.
  9. Address any questions regarding health history, prior stays, and other essential details as outlined within the form sections.
  10. Once all fields are completed, review the document for accuracy. After confirmation, you can save the changes, download, print, or share the completed form.

Complete your MDS-RCA Assessment Tracking Specifications online today to ensure accurate and timely healthcare assessments.

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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