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Hospital Notification of Emergent Admissions Providers Keystone First Community HealthChoices Hospital Notification of Emergent Form

Hospital Notification of Emergent Admissions Providers Keystone First Community HealthChoices Hospital Notification of Emergent Form

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Understanding the Hospital Notification of Emergent Admissions

The Hospital Notification of Emergent Admissions is a crucial document for providers participating in the Keystone First Community HealthChoices program. This form is designed to notify Keystone First about admissions of members in emergency situations. Proper completion of this form ensures that the necessary medical care is coordinated and that the member's health plan is informed promptly. This process is vital for maintaining continuity of care and ensuring that members receive the appropriate services without unnecessary delays.

Steps to Complete the Hospital Notification of Emergent Admissions

Completing the Hospital Notification of Emergent Admissions involves several key steps:

  1. Gather necessary patient information, including full name, date of birth, and Keystone First member ID.
  2. Document the details of the admission, including the date and time of admission, the reason for the emergency, and the treating facility's information.
  3. Ensure that all required signatures are obtained, which may include those of the attending physician and hospital staff.
  4. Submit the completed form through the designated method, ensuring compliance with any specific submission guidelines provided by Keystone First.

Legal Use of the Hospital Notification of Emergent Admissions

The legal validity of the Hospital Notification of Emergent Admissions is supported by compliance with federal and state regulations regarding healthcare documentation. To be considered legally binding, the form must be filled out accurately and submitted in accordance with the rules set forth by Keystone First. This includes adherence to privacy laws such as HIPAA, ensuring that all patient information is handled confidentially and securely.

Key Elements of the Hospital Notification of Emergent Admissions

Several key elements must be included in the Hospital Notification of Emergent Admissions to ensure its effectiveness:

  • Patient Information: Full name, date of birth, and Keystone First member ID.
  • Admission Details: Date and time of admission, reason for the emergency, and facility information.
  • Signatures: Required signatures from the attending physician and hospital staff.
  • Submission Method: Indicate how the form will be submitted, whether electronically or via mail.

How to Obtain the Hospital Notification of Emergent Admissions

The Hospital Notification of Emergent Admissions can typically be obtained through the Keystone First provider portal or by contacting Keystone First directly. Providers should ensure they have access to the latest version of the form to avoid any compliance issues. It is advisable to review the form's requirements and instructions before filling it out to ensure all necessary information is included.

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