
Cigna HealthSpring Notice of Discharge Inpatient Behavioral Health Hospitalization 2016-2025 free printable template
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Notice of Discharge Inpatient Behavioral Health Hospitalization Today's date: Admission date: DC Date: Customer Name: Customer ID# Auth #: DC Facility: DC Planner name: Phone: Ext. DISCHARGE PLANS:
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How to fill out Cigna HealthSpring Notice of Discharge Inpatient Behavioral Health
01
Obtain the Cigna HealthSpring Notice of Discharge Inpatient Behavioral Health form.
02
Fill in the patient's full name and identification information at the top of the form.
03
Provide details about the discharge date and the facility's information.
04
Indicate the reason for discharge in the designated section.
05
Outline the aftercare plan, including any follow-up appointments or referrals.
06
Include instructions for the patient regarding medication management and continued therapies.
07
Review the completed form for any errors or missing information.
08
Sign and date the form, if required, and provide copies to the patient and relevant parties.
Who needs Cigna HealthSpring Notice of Discharge Inpatient Behavioral Health?
01
Patients who have been discharged from inpatient behavioral health treatment.
02
Healthcare providers managing the discharge process for behavioral health patients.
03
Insurance representatives who require documentation of discharge for coverage purposes.
04
Family members or guardians of the patient who need to understand post-discharge care.
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What is Cigna HealthSpring Notice of Discharge Inpatient Behavioral Health?
Cigna HealthSpring Notice of Discharge Inpatient Behavioral Health is a formal document used to communicate the discharge of a patient from inpatient behavioral health services.
Who is required to file Cigna HealthSpring Notice of Discharge Inpatient Behavioral Health?
Health care providers and facilities that provide inpatient behavioral health services are required to file the Cigna HealthSpring Notice of Discharge.
How to fill out Cigna HealthSpring Notice of Discharge Inpatient Behavioral Health?
To fill out the Cigna HealthSpring Notice of Discharge, complete the required fields with patient information, discharge date, reason for discharge, and any relevant clinical details.
What is the purpose of Cigna HealthSpring Notice of Discharge Inpatient Behavioral Health?
The purpose of the Cigna HealthSpring Notice of Discharge is to ensure proper communication about a patient's discharge status and to facilitate continuity of care.
What information must be reported on Cigna HealthSpring Notice of Discharge Inpatient Behavioral Health?
The information that must be reported includes patient demographics, discharge date, discharge summary, specific reasons for discharge, and any follow-up care recommendations.
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