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This bulletin outlines changes to the Notification of Birth (NOB-1) form used by acute inpatient hospitals participating in MassHealth to report low birthweight and other related information to the
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How to fill out acute inpatient hospital bulletin
How to fill out Acute Inpatient Hospital Bulletin 114
01
Obtain the Acute Inpatient Hospital Bulletin 114 form from your hospital's administrative office or website.
02
Fill in the patient’s basic information including name, medical record number, and admission date.
03
Complete the section for the admitting physician’s information with name and contact details.
04
Document the reasons for hospitalization and the relevant medical history.
05
Provide details on the treatment plan including procedures scheduled and anticipated length of stay.
06
Review the billing information section and ensure insurance details are accurately entered.
07
Sign and date the form where indicated, ensuring all claims are complete.
08
Submit the completed form to the appropriate department for processing.
Who needs Acute Inpatient Hospital Bulletin 114?
01
Hospitals that need to report patient admission details for insurance and regulatory compliance.
02
Healthcare providers involved in the inpatient care of a patient.
03
Administrators who manage hospital records and billing processes.
04
Insurance companies requiring patient information for reimbursement.
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What is Acute Inpatient Hospital Bulletin 114?
Acute Inpatient Hospital Bulletin 114 is a regulatory document issued by healthcare authorities that outlines reporting requirements for acute inpatient hospital services.
Who is required to file Acute Inpatient Hospital Bulletin 114?
Acute Inpatient Hospital Bulletin 114 must be filed by acute inpatient hospitals that provide services under specific health programs.
How to fill out Acute Inpatient Hospital Bulletin 114?
To fill out Acute Inpatient Hospital Bulletin 114, hospitals need to follow the provided instructions, ensuring all required fields are accurately completed and all necessary documentation is attached.
What is the purpose of Acute Inpatient Hospital Bulletin 114?
The purpose of Acute Inpatient Hospital Bulletin 114 is to collect data for quality assessment, regulatory compliance, and to ensure the accountability of healthcare services provided by acute hospitals.
What information must be reported on Acute Inpatient Hospital Bulletin 114?
The information reported on Acute Inpatient Hospital Bulletin 114 includes patient demographics, service details, diagnosis codes, treatment provided, and other relevant clinical information.
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