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HIGHER BLUE SHIELD LONG TERM ACUTE CARE FACILITY RECERTIFICATION WORKSHEET Submission Instructions: Please print all information. IMPORTANT! THIS REQUEST FOR AUTHORIZATION REVIEW CANNOT BE PROCESSED
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01
Gather all necessary information and documentation, such as medical records, insurance information, and personal identification.
02
Contact the long-term acute care facility or hospital and inquire about their specific admission process.
03
Schedule an appointment or consultation with a healthcare professional at the facility to discuss your specific needs and medical history.
04
Complete any required paperwork or forms, providing accurate and detailed information.
05
Provide any necessary medical records or documentation to the facility for review.
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Coordinate with your healthcare provider or primary care physician to ensure a smooth transition of care.
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Follow any additional instructions or requirements provided by the facility, such as arranging transportation or scheduling follow-up appointments.

Who needs long term acute care?

01
Long term acute care is generally recommended for individuals who require an extended period of specialized medical treatment and monitoring.
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These may include patients with severe or complex medical conditions, chronic illnesses, multiple organ failure, or those recovering from major surgeries or traumatic injuries.
03
Patients who have not responded to traditional acute care settings or who have ongoing medical and rehabilitation needs may also benefit from long term acute care.
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The decision to pursue long term acute care is typically made in collaboration with healthcare professionals and specialists who assess the individual's unique medical needs and treatment goals.
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Long term acute care is specialized medical care for patients who require an extended hospital stay.
Healthcare providers and facilities that offer long term acute care services are required to file.
Long term acute care forms can be filled out electronically or manually, depending on the requirements of the reporting agency.
The purpose of long term acute care is to provide intensive treatment and rehabilitation for patients with complex medical conditions.
Information such as patient demographics, medical history, treatment plans, and outcomes must be reported on long term acute care forms.
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