Get Ca Delayed Physician Certification/recertification 2017-2025

This guide provides a detailed, step-by-step approach to filling out the CA Delayed Physician Certification/Recertification online. By following these instructions, you will ensure that all necessary information is accurately recorded for a smooth certification process.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the CA Delayed Physician Certification/Recertification document and open it in your preferred online editor.
2. Begin by entering the patient's name in the designated field. Ensure that the name matches the information in the medical records to avoid any discrepancies.
3. Input the medical record number associated with the patient. This unique identifier helps track the patient's medical history accurately.
4. Fill in the admission date, accurately reflecting when the patient was admitted to the facility. Similarly, provide the discharge date which marks the conclusion of their stay.
5. Specify the reason for the delayed certification or recertification. Select from the provided options such as oversight or inadvertent flagging for physician signature.
6. Complete the certification section by stating the duration of the skilled nursing services required by the patient, using the fields provided to indicate the range of dates.
7. Describe the patient's condition and the continuing need for treatment by clearly outlining the relevant details. Ensure all details are connected to the circumstances that arose during the hospital stay.
8. Indicate the discharge status of the patient by either circling or crossing out option 'a' if the patient was discharged to another facility or option 'b' if the patient expired on the discharge date.
9. Review the patient's medical record and attest in the designated area that the record supports the ongoing need for continued care in the Skilled Nursing Facility and any home care plans if applicable.
10. Lastly, add your signature and the date of completion at the bottom of the form. This signifies that the information provided is accurate and has been reviewed.
11. Once completed, you can save the changes, download a copy for your records, print the document, or share it as needed to fulfill submission requirements.

Complete your forms online today for a more efficient application process.