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Medicare Meeting Report - Digital Form

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SKU: 1442E

Electronically Delivered eForm* - Available Now

Updated form provides for documentation of key elements of skilled services and documentation reviewed during Medicare meetings.  Updates correspond with the implementation of the PDPM reimbursement system.

Updated to track fourteen (14) residents on this two-sided form: 

         Primary diagnosis for skilled care (I0020B)

         Current CMI classification

         ARD of initial Medicare assessment

         Medicare days used and days available

         Skilled services provided: nursing, P.T., O.T., SLP

         Interim Payment Assessment (IPA) indicated

         Continue skilled care

         Anticipated discharge date

         Date beneficiary notice given

         Skilled certification/recertifications complete and signed

         Therapy certifications complete and signed


This form provides for six (6) signatures/titles of the Interdisciplinary Team (IDT) attending the meeting.

*This this digital form is delivered as a form-fillable PDF and includes 1-year of updates.  To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment).  After 1- year, your update subscription will automatically renew.

Download a sample today!

License Agreement

Pages:             2
Ink Colors:      Black 
Delivery:         Electronic - form fillable PDF

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