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Massachusetts Center for Health Information and AnalysisOutpatient Emergency Department Visit Details Submission Guide FY 20252021Effective October 1, 20242020CHIA has adopted regulation 957 CMR 8.00
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How to fill out outpatient emergency department visit

01
Arrive at the outpatient emergency department.
02
Provide your personal information, including name, date of birth, address, and insurance details.
03
Describe the reason for your visit and any symptoms you are experiencing.
04
Follow the instructions given by the medical staff and provide any additional information or medical history as requested.
05
Complete any necessary paperwork and consent forms.
06
Wait to be seen by a healthcare provider for evaluation and treatment.
07
Follow any instructions or recommendations provided upon discharge.

Who needs outpatient emergency department visit?

01
Anyone experiencing a medical emergency or sudden onset of symptoms that require immediate attention.
02
Individuals with injuries that need urgent medical care.
03
Patients with severe pain, difficulty breathing, chest pain, or other concerning symptoms.
04
People who are unable to wait for a scheduled appointment with their primary care physician.

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Outpatient emergency department visit is when a patient receives medical treatment in the emergency department of a hospital but is not admitted as an inpatient.
Healthcare providers and facilities are required to file outpatient emergency department visits.
Outpatient emergency department visits can be filled out using electronic health records or paper forms provided by the hospital.
The purpose of outpatient emergency department visits is to document the medical treatment received by a patient in the emergency department.
Information such as patient demographics, medical history, presenting symptoms, treatment provided, and discharge instructions must be reported on outpatient emergency department visits.
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