Get the free GHP INPATIENT REHABILITATION PRE-CERT WORKSHEET

GAP INPATIENT REHABILITATION PRECEPT WORKSHEET FAX 5709530368 PLEASE FILL OUT COMPLETELY PLEASE PRINT LEGIBLY USE ONLY STANDARD ABBREVIATIONS WHERE NECESSARY Admitting Facility: Admitting Rehab Physician:

How to fill out ghp inpatient rehabilitation pre-cert

How to fill out ghp inpatient rehabilitation pre-cert

1. To fill out the GHP Inpatient Rehabilitation Pre-Cert form, follow these steps:
2. Start by entering the patient's personal information, including their name, date of birth, and insurance information.
3. Provide details about the issuing facility, such as the name, address, and contact information.
4. Specify the type of pre-certification being requested, whether it is an initial stay, a continuation of care, or a transfer.
5. Fill in the details of the attending physician, including their name, contact information, and medical license number.
6. Describe the reason for the inpatient rehabilitation pre-certification, including the patient's diagnosis and treatment plan.
7. Provide information about any other healthcare providers involved in the patient's care, such as consulting physicians or therapists.
8. Include any additional relevant medical records or documentation to support the pre-certification request.
9. Review the completed form for accuracy and make sure all required fields are filled out.
10. Submit the form to the appropriate GHP department for processing.
11. Keep a copy of the filled-out form for your records.

Who needs ghp inpatient rehabilitation pre-cert?

1. Anyone who requires inpatient rehabilitation services covered by GHP insurance needs to complete the GHP Inpatient Rehabilitation Pre-Cert form. This includes patients who have been referred by a physician for an inpatient rehabilitation stay to aid in their recovery and rehabilitation process. It is essential to obtain pre-certification to ensure that GHP approves the coverage and payments for the services provided. Failure to obtain pre-certification may result in denied coverage or increased out-of-pocket expenses for the patient.

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What is ghp inpatient rehabilitation pre-cert?

The ghp inpatient rehabilitation pre-cert is a process where healthcare providers must obtain prior approval from the patient's insurance company before admitting a patient for inpatient rehabilitation.

Who is required to file ghp inpatient rehabilitation pre-cert?

Healthcare providers such as hospitals, rehabilitation centers, and other facilities offering inpatient rehabilitation services are required to file ghp inpatient rehabilitation pre-cert.

How to fill out ghp inpatient rehabilitation pre-cert?

To fill out ghp inpatient rehabilitation pre-cert, healthcare providers must complete the necessary forms provided by the patient's insurance company and submit all required documentation for review and approval.

What is the purpose of ghp inpatient rehabilitation pre-cert?

The purpose of ghp inpatient rehabilitation pre-cert is to ensure that admission for inpatient rehabilitation meets the medical necessity criteria set by the patient's insurance company.

What information must be reported on ghp inpatient rehabilitation pre-cert?

Information such as the patient's medical history, current medical condition, proposed rehabilitation treatment plan, and expected length of stay must be reported on ghp inpatient rehabilitation pre-cert.