MA Acute Inpatient Hospital Bulletin 133 2007-2025 free printable template
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Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid 600 Washington Street Boston, MA 02111 www.mass.gov/masshealth IMS Health Acute Inpatient Hospital Bulletin
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How to fill out MA Acute Inpatient Hospital Bulletin 133
How to fill out MA Acute Inpatient Hospital Bulletin 133
01
Obtain the MA Acute Inpatient Hospital Bulletin 133 form from the appropriate state health department website or agency.
02
Carefully read the instructions accompanying the form to understand all requirements.
03
Fill out the patient's demographic information such as name, date of birth, and medical record number in the designated sections.
04
Provide the hospitalization details including admission date, discharge date, and the diagnosis codes.
05
Include details of the services provided during the stay, ensuring to list all necessary procedures and treatments received by the patient.
06
Double-check all entries for accuracy, ensuring compliance with current Medicaid guidelines.
07
Sign and date the form as required, verifying that all information is truthful and complete.
08
Submit the completed form through the specified submission method, whether electronically or via mail.
Who needs MA Acute Inpatient Hospital Bulletin 133?
01
Acute inpatient hospitals that provide services covered under Massachusetts Medicaid.
02
Hospital administrators and billing staff responsible for submitting claims and documentation.
03
Healthcare providers involved in the patient's care and requiring reimbursement for services rendered.
04
State health department officials needing data for healthcare compliance and oversight.
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What is MA Acute Inpatient Hospital Bulletin 133?
MA Acute Inpatient Hospital Bulletin 133 is a regulatory document issued by the Massachusetts Executive Office of Health and Human Services that provides guidance on the reporting and reimbursement processes for acute inpatient hospital services in Massachusetts.
Who is required to file MA Acute Inpatient Hospital Bulletin 133?
Acute inpatient hospitals participating in the Massachusetts Medicaid program are required to file MA Acute Inpatient Hospital Bulletin 133.
How to fill out MA Acute Inpatient Hospital Bulletin 133?
To fill out MA Acute Inpatient Hospital Bulletin 133, hospitals should provide accurate patient information, treatment details, service dates, and any other required documentation as specified in the bulletin's guidelines.
What is the purpose of MA Acute Inpatient Hospital Bulletin 133?
The purpose of MA Acute Inpatient Hospital Bulletin 133 is to standardize the reporting of inpatient hospital services and ensure proper reimbursement for services rendered to patients under the Massachusetts Medicaid program.
What information must be reported on MA Acute Inpatient Hospital Bulletin 133?
The information that must be reported on MA Acute Inpatient Hospital Bulletin 133 includes patient demographics, admission and discharge dates, diagnosis codes, service codes, and any related financial information necessary for reimbursement.
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