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Continuity of care transition assistance form If you a have planned surgery, testing or ongoing treatment after September 1, 2023, complete the form below and mail it to Aetna at the address on the
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How to fill out continuity of care transition

How to fill out continuity of care transition
01
Obtain the necessary forms from the healthcare provider or facility that is transferring care.
02
Fill out personal information such as name, date of birth, and contact information.
03
Provide information about your current healthcare provider and the healthcare provider you are transitioning to.
04
Include a list of current medications, medical history, and any ongoing treatment plans.
05
Sign and date the form to certify that the information provided is accurate and complete.
Who needs continuity of care transition?
01
Patients who are transitioning care from one healthcare provider to another.
02
Individuals with complex medical conditions who require coordinated care between multiple healthcare providers.
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What is continuity of care transition?
Continuity of care transition refers to the process of ensuring that a patient receives uninterrupted and coordinated health care services during transitions between different care settings, such as from hospital to home or from one provider to another.
Who is required to file continuity of care transition?
Qualified healthcare providers and organizations, such as hospitals and primary care physicians, are typically required to file continuity of care transition documentation to ensure proper communication and care coordination.
How to fill out continuity of care transition?
To fill out a continuity of care transition, providers should collect relevant patient information, document the patient's care history, medications, and any necessary instructions for ongoing care, and then submit the completed forms to the appropriate receiving provider or organization.
What is the purpose of continuity of care transition?
The purpose of continuity of care transition is to enhance patient safety, improve health outcomes, and ensure that necessary information is effectively communicated between healthcare providers during changes in a patient's care setting.
What information must be reported on continuity of care transition?
Key information that must be reported includes patient demographics, medical history, medications, treatment plans, follow-up care instructions, and contact information for all involved care providers.
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