Amerigroup Behavioral Health Inpatient Discharge Form 2018 free printable template

Https://providers. Amerigroup.behavioral Health Inpatient Discharge Form To avoid delays in processing, please fill out this form completely and return it to Amerigroup Washington, Inc. by fax at

How to fill out behavioral health inpatient discharge

How to fill out Amerigroup Behavioral Health Inpatient Discharge Form

1. Obtain the Amerigroup Behavioral Health Inpatient Discharge Form from the healthcare facility.
2. Fill out the patient’s personal information, including full name, date of birth, and insurance details.
3. Document the dates of admission and discharge.
4. Include the diagnosis or diagnoses that were treated during the inpatient stay.
5. Record the treatment and any medications administered during the stay.
6. Note any follow-up appointments or referrals made upon discharge.
7. Provide aftercare instructions, including contact information for support services.
8. Ensure that all information is accurate and complete before submitting the form.

Who needs Amerigroup Behavioral Health Inpatient Discharge Form?

1. The Amerigroup Behavioral Health Inpatient Discharge Form is needed by healthcare providers for documenting the discharge process.
2. Patients or their guardians may require the form for their records or to follow up on recommended aftercare.
3. Insurance companies may also need the form for claims processing and verification of services provided.

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What is Amerigroup Behavioral Health Inpatient Discharge Form?

The Amerigroup Behavioral Health Inpatient Discharge Form is a document used to formally report the discharge of a patient from an inpatient behavioral health treatment program, capturing essential details about the patient's stay and subsequent care needs.

Who is required to file Amerigroup Behavioral Health Inpatient Discharge Form?

The form must be filed by the healthcare providers or facilities that have treated the patient and are responsible for documenting the discharge process.

How to fill out Amerigroup Behavioral Health Inpatient Discharge Form?

To fill out the form, the provider should include patient identification details, diagnosis, treatment history, aftercare recommendations, and any follow-up appointments along with the date of discharge.

What is the purpose of Amerigroup Behavioral Health Inpatient Discharge Form?

The purpose of the form is to ensure a complete and accurate transition of care for the patient, facilitating continuity of treatment and providing relevant information to outpatient care providers.

What information must be reported on Amerigroup Behavioral Health Inpatient Discharge Form?

The information that must be reported includes patient demographics, dates of admission and discharge, diagnosis, summary of treatment received, discharge medications, and aftercare plans.