Form preview

Get the free Inpatient Discharge Data Submission Guide for Behavioral Health Facilities

Get Form
This document provides technical and data specifications, including edit specifications required for the Inpatient Discharge Data from Behavioral Health Facilities. It outlines the reporting requirements as per regulation 957 CMR 8.00 for facilities submitting inpatient discharge data to the Massachusetts Center for Health Information and Analysis (CHIA).
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign inpatient discharge data submission

Edit
Edit your inpatient discharge data submission form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your inpatient discharge data submission form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing inpatient discharge data submission online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the steps down below to use a professional PDF editor:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit inpatient discharge data submission. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
pdfFiller makes working with documents easier than you could ever imagine. Try it for yourself by creating an account!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out inpatient discharge data submission

Illustration

How to fill out inpatient discharge data submission

01
Gather all patient information including demographics and medical history.
02
Document the reason for admission and diagnosis.
03
Record all treatments and procedures performed during the inpatient stay.
04
Note the discharge date and time.
05
Include the discharge disposition, indicating where the patient is going after discharge (e.g., home, rehabilitation).
06
Ensure any follow-up care instructions and medications are documented.
07
Review the completed discharge data for accuracy before submission.
08
Submit the completed discharge data to the appropriate health authority or database.

Who needs inpatient discharge data submission?

01
Healthcare providers for accurate patient care management.
02
Hospitals for compliance with reporting regulations.
03
Public health authorities for epidemiological tracking and resource allocation.
04
Insurance companies for billing and reimbursement purposes.
05
Researchers analyzing patient outcomes and healthcare trends.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.2
Satisfied
52 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Simplify your document workflows and create fillable forms right in Google Drive by integrating pdfFiller with Google Docs. The integration will allow you to create, modify, and eSign documents, including inpatient discharge data submission, without leaving Google Drive. Add pdfFiller’s functionalities to Google Drive and manage your paperwork more efficiently on any internet-connected device.
As a PDF editor and form builder, pdfFiller has a lot of features. It also has a powerful e-signature tool that you can add to your Chrome browser. With our extension, you can type, draw, or take a picture of your signature with your webcam to make your legally-binding eSignature. Choose how you want to sign your inpatient discharge data submission and you'll be done in minutes.
The pdfFiller mobile applications for iOS and Android are the easiest way to edit documents on the go. You may get them from the Apple Store and Google Play. More info about the applications here. Install and log in to edit inpatient discharge data submission.
Inpatient discharge data submission refers to the process of collecting and reporting information related to patients who have been discharged from a hospital after receiving care. This data is usually submitted to health authorities or regulatory bodies for monitoring, analysis, and research purposes.
Hospitals and healthcare facilities that provide inpatient care are typically required to file inpatient discharge data submissions. This may include acute care hospitals, rehabilitation facilities, and long-term care hospitals, depending on state or federal requirements.
To fill out inpatient discharge data submission, healthcare providers should ensure accurate and complete documentation of each patient's discharge information. This usually includes patient demographics, diagnosis codes, treatment details, length of stay, discharge status, and other relevant data as required by the governing health authority.
The purpose of inpatient discharge data submission is to facilitate the collection and analysis of health care data, which can be used to improve patient care, monitor health care quality, and inform policy decisions. It also helps in tracking health trends and outcomes across populations.
Information that must be reported on inpatient discharge data submission typically includes patient identifiers, admission and discharge dates, diagnosis and procedure codes, length of stay, discharge status (like transfer or death), and any complications or comorbidities that occurred during the inpatient stay.
Fill out your inpatient discharge data submission online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.