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Get the free Attending Physician Statement - Heart Valve Surgery

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This document serves as a report for physicians to complete regarding a patient\'s heart valve surgery claim to assess medical conditions and treatment involvement.
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How to fill out attending physician statement

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How to fill out attending physician statement

01
Start with the patient's basic information: name, date of birth, and insurance details.
02
Provide the attending physician's contact information and credentials.
03
Include the patient's medical diagnosis along with the relevant ICD-10 codes.
04
Detail the treatment plan, including any medications or therapies.
05
Specify the patient's current functional status and any limitations.
06
Sign and date the statement to validate the information provided.

Who needs attending physician statement?

01
Insurance companies require an attending physician statement to process claims for disability benefits.
02
Patients may need it for health-related applications or to secure certain medical services.
03
Employers may request it for employee medical leave verification.
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An attending physician statement (APS) is a document completed by a patient's physician providing detailed information about a patient's health history, diagnosis, treatment, and prognosis, typically used by insurance companies.
The attending physician who provides medical care to the patient is required to file the attending physician statement.
To fill out an attending physician statement, the physician should accurately complete all required sections, including patient details, medical history, current condition, treatments provided, and any prognosis for further health outcomes.
The purpose of the attending physician statement is to provide a comprehensive overview of a patient's medical condition and treatment to assist insurers in assessing claims for benefits or coverage.
The attending physician statement must report the patient's medical history, specific diagnoses, summary of evaluations, details about treatments rendered, medications prescribed, and any other relevant clinical findings.
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