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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 a GHP inpatient rehabilitation pre-cert, follow these steps:
2. Obtain the pre-certification form for GHP inpatient rehabilitation from your insurance provider.
3. Fill out the first section of the form, providing your personal information such as your name, date of birth, and contact details.
4. Provide your insurance information, including your policy number and group ID.
5. In the next section, provide details about the patient seeking inpatient rehabilitation. This includes their name, diagnosis, and reason for admission.
6. Fill out the attending physician's information, including their name, contact details, and specialty.
7. Provide details about the facility where the inpatient rehabilitation will take place, including its name, address, and phone number.
8. Attach any supporting documentation required by your insurance provider, such as medical records or treatment plans.
9. Review the completed form for accuracy and completeness.
10. Submit the form to your insurance provider through the designated channel, which may be mailing, faxing, or submitting online.
11. Keep a copy of the filled-out form and any supporting documentation for your records.

Who needs ghp inpatient rehabilitation pre-cert?

1. Any individual who has a GHP (Group Health Plan) and requires inpatient rehabilitation may need to go through the pre-certification process.
2. Pre-certification is typically required by insurance providers to establish medical necessity and ensure coverage for inpatient rehabilitation services.
3. It is essential to check the specific requirements and guidelines provided by your insurance provider to determine if pre-certification is necessary in your case.
4. Common scenarios where a GHP inpatient rehabilitation pre-cert may be needed include recovering from major surgeries, managing acute or chronic conditions, or rehabilitation after a severe injury.

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What is ghp inpatient rehabilitation pre-cert?

GHP inpatient rehabilitation pre-cert is a process that requires healthcare providers to obtain prior authorization before admitting a patient for inpatient rehabilitation care under the GHP (Group Health Plan).

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

Healthcare providers, specifically those offering inpatient rehabilitation services, are required to file GHP inpatient rehabilitation pre-cert for their patients.

How to fill out ghp inpatient rehabilitation pre-cert?

To fill out the GHP inpatient rehabilitation pre-cert, providers should complete the designated form with patient information, treatment details, and medical necessity criteria, ensuring all required fields are accurately filled.

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

The purpose of GHP inpatient rehabilitation pre-cert is to ensure that the proposed rehabilitation services are medically necessary and to facilitate appropriate resource allocation.

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

The information that must be reported includes patient demographics, diagnosis, proposed treatment plan, expected length of stay, and justification for rehabilitation services.