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Protecting, Maintaining and Improving the Health of AllMinnesotansElectronicallyDelivered May 25, 2023, Administrator Walker Methodist Health Center 3737 Bryant Avenue South Minneapolis, MN 55409
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01
Contact your healthcare provider to inquire about transitional care services.
02
Provide necessary medical records and information to the transitional care team.
03
Attend any assessment appointments scheduled by the transitional care team.
04
Follow the care plan and recommendations provided by the transitional care team.

Who needs transitional care services for?

01
Individuals who are transitioning from hospital to home.
02
Patients with complex medical needs or chronic conditions.
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Elderly individuals who require additional support and monitoring after a hospital stay.
04
Patients who may benefit from specialized rehabilitation services.
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Transitional care services are designed to help patients make a smooth transition from the hospital to their home or another care setting.
Healthcare providers and facilities that provide transitional care services are required to file for reimbursement or payment.
Transitional care services can be filled out using specific forms provided by insurance companies or government healthcare programs.
The purpose of transitional care services is to ensure that patients receive the necessary support and resources to prevent readmission to the hospital.
Information such as patient demographics, medical history, treatment plan, and discharge instructions must be reported on transitional care services forms.
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