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Network 13 Patient Discharge Form
The information below is the Minimum Required by CROWN Web. Please answer all questions.
FACILITY INFORMATION
CCN/Medicare Provider Number
Facility Name
Person Completing
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How to fill out network 13 patient discharge
Point by point instructions on how to fill out network 13 patient discharge:
01
Begin by gathering all necessary information about the patient, such as their name, medical record number, and date of discharge.
02
Ensure that you have the correct version of the network 13 patient discharge form.
03
Start by filling out the patient's personal details accurately, including their name, date of birth, gender, and contact information.
04
Provide the necessary healthcare facility information, such as the name, address, and contact details.
05
Record the admission and discharge dates and times accurately.
06
Document the reason for the patient's discharge, including any diagnoses or conditions that contributed to their hospital stay.
07
Describe the care and treatment provided to the patient during their stay, including any medications, therapies, or procedures.
08
Indicate the patient's current condition upon discharge, noting if they are stable, improved, or require ongoing care.
09
Include the details of any follow-up appointments or instructions for the patient's continued care.
10
Review the form for any errors or omissions before signing and dating it.
11
Submit the completed network 13 patient discharge form to the appropriate department or person in your healthcare facility.
Who needs network 13 patient discharge?
01
Network 13 patient discharge forms are typically required by healthcare facilities, particularly hospitals, for documentation purposes.
02
Medical professionals, such as doctors, nurses, and discharge planners, utilize network 13 patient discharge forms to record and communicate essential information about a patient's discharge.
03
Insurance companies may also request network 13 patient discharge forms to process claims and determine coverage for the patient's care.
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