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Three Penn Plaza East Newark, NJ 071052200 www.HorizonBlue.com Statute Facility Continued Stay Request Form Information Sheet This information sheet describes the fields required to help you accurately
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How to fill out post-acute facility continued stay

How to fill out post-acute facility continued stay?
01
Begin by gathering all the necessary forms and documentation required for the post-acute facility continued stay application. This may include medical records, progress notes, discharge summaries, and any other relevant paperwork.
02
Fill out the patient's personal information accurately and completely. This includes their name, date of birth, address, contact information, and insurance details.
03
Provide a detailed and comprehensive medical history, highlighting the reason for the post-acute facility continued stay. Include any recent surgeries, procedures, or medical conditions that require ongoing care.
04
Specify the anticipated length of the continued stay in the post-acute facility. This should be based on the patient's medical needs and their progress towards recovery.
05
Describe the specific services and treatments that the patient requires during their continued stay. This may include physical therapy, occupational therapy, speech therapy, medication management, wound care, or other specialized treatments.
06
Include any supporting documentation such as test results, imaging reports, or consultation notes that demonstrate the medical necessity of the post-acute facility continued stay.
07
Fill out any sections related to the patient's insurance coverage accurately and completely. This may involve providing information about the primary insurance provider, secondary insurance if applicable, Medicare or Medicaid details, and any other relevant insurance information.
08
Review the completed form for accuracy and completeness before submitting it to the appropriate party. Double-check all the information provided and make any necessary corrections or additions.
Who needs post-acute facility continued stay?
01
Patients who have undergone surgery or medical procedures and still require specialized care and rehabilitation to continue their recovery.
02
Individuals with chronic illnesses, such as stroke, Parkinson's disease, or multiple sclerosis, who need ongoing therapy and assistance to maintain their functional independence.
03
Patients with complex medical conditions or severe injuries that require monitoring, wound care, or other specialized treatments that cannot be provided at home.
04
Individuals transitioning from a hospital setting to home care, who need a period of additional care in a post-acute facility to ensure a smooth transition and prevent any complications.
05
Patients who have experienced a significant decline in their health or functional abilities and require intensive therapy or medical interventions to regain their previous level of independence.
In summary, filling out a post-acute facility continued stay form requires accurate and complete information about the patient's medical history, necessary treatments, insurance coverage, and anticipated length of stay. This type of continued care is typically needed by patients recovering from surgeries, medical procedures, or managing chronic illnesses, among others.
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What is post-acute facility continued stay?
Post-acute facility continued stay refers to the extended care provided to patients after their acute hospital stay.
Who is required to file post-acute facility continued stay?
The healthcare facility or provider responsible for the patient's post-acute care is required to file for continued stay.
How to fill out post-acute facility continued stay?
Post-acute facility continued stay forms can be filled out online or submitted through the appropriate channels designated by the healthcare facility.
What is the purpose of post-acute facility continued stay?
The purpose of post-acute facility continued stay is to ensure that patients receive the necessary care and treatment beyond their initial hospital stay.
What information must be reported on post-acute facility continued stay?
Information such as the patient's medical history, treatment plan, progress, and any changes in condition must be reported on post-acute facility continued stay forms.
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