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Molina Healthcare of Puerto Rico Providers REFERENCE LETTER PR PROV18006002ENG June 20, 2018, TO REAL HOSPITALS COVERED INPATIENT DAYS (VALUE CODES 80) FORM UB04Greetings form the family of Molina

How to fill out covered inpatient days

How to fill out covered inpatient days

1. Gather all necessary documents, such as the patient's insurance information and medical records.
2. Determine the coverage period for the inpatient stay. This could be a specific number of days or a range of dates.
3. Fill out the necessary forms provided by the insurance company or healthcare facility. This may include providing information about the patient's condition, treatment received, and the healthcare provider's details.
4. Ensure accurate and complete documentation of the covered inpatient days. Double-check all information provided before submitting the forms.
5. Submit the filled-out forms to the appropriate authority, such as the insurance company or the hospital's billing department.
6. Follow up with the authority to ensure the processing of the covered inpatient days and resolve any issues or discrepancies if necessary.
7. Keep copies of all the submitted documents and correspondence related to the covered inpatient days for future reference.

Who needs covered inpatient days?

1. Anyone who has health insurance coverage and is admitted to a hospital or other eligible healthcare facility as an inpatient may need covered inpatient days.
2. Patients who require extensive medical care, surgeries, or specialized treatments that cannot be provided in an outpatient setting are likely to utilize covered inpatient days.
3. Covered inpatient days may also be required for individuals with chronic conditions or complex medical needs that necessitate long-term hospitalization.
4. It is important to check the specific terms and conditions of your health insurance policy to determine if covered inpatient days are applicable to your coverage.

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What is covered inpatient days?

Covered inpatient days refer to the total number of days a patient is officially recognized as receiving inpatient care that is eligible for payment by health insurance programs, typically including Medicare.

Who is required to file covered inpatient days?

Healthcare providers such as hospitals that accept Medicare or other insurance payments for inpatient care are required to file covered inpatient days.

How to fill out covered inpatient days?

To fill out covered inpatient days, healthcare providers must document the admission and discharge dates for patients, ensuring the correct number of days is calculated and reported to the relevant insurance or governmental programs.

What is the purpose of covered inpatient days?

The purpose of covered inpatient days is to track and report the duration of inpatient care provided to patients, which determines reimbursement rates and compliance with insurance regulations.

What information must be reported on covered inpatient days?

The information reported on covered inpatient days includes the patient's identification details, admission and discharge dates, diagnosis codes, and the total number of days of inpatient care.