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Specialized Residential Discharge Verification Form
Attn: Ombudsperson, Adult Mental Illness
*** Verbal preauthorization from Ombudsperson, Adult Mental Illness, REQUIRED for
discharge
*** Upload
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What is specialized residential discharge verification?
Specialized residential discharge verification is a process of confirming that a patient has been discharged from a specialized residential setting such as a rehabilitation center or nursing home.
Who is required to file specialized residential discharge verification?
Healthcare providers or facilities that discharge patients from specialized residential settings are required to file specialized residential discharge verification.
How to fill out specialized residential discharge verification?
To fill out specialized residential discharge verification, healthcare providers must include information such as patient's name, date of discharge, reason for discharge, and signature of the healthcare provider.
What is the purpose of specialized residential discharge verification?
The purpose of specialized residential discharge verification is to ensure proper documentation of patient discharges from specialized residential settings for continuity of care and billing purposes.
What information must be reported on specialized residential discharge verification?
Information such as patient's name, date of discharge, reason for discharge, and signature of the healthcare provider must be reported on specialized residential discharge verification.
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