Pending Application for Medicaid Coverage: Template letter to patients/families informing them of practice’s procedures for patients with pending Medicaid applications. Practice Dropping Insurance Plan: Template letter to patients/families advising them that their practice will no longer accept a specific insurance plan or the pediatrician is no longer an in-network provider.
Doctor discharge letter template update#
Response to Bill Questions: Template letter to update a patient/family after they have questioned a bill. Briefly discusses coverage options and self-pay discounts. Outstanding Patient Account Balance Letter: Template letter to patients/families alerting them of an outstanding patient account balance.įamilies Without Health Insurance: Template letter for patients and families who do not have health insurance. Notification of Practice’s Financial Policies: Template letter notifying patients/families with insurance that includes high out-of-pocket expenses (deductibles and co-pays) about the practice’s financial policies. Payment-Related Letters to Patients/Families Medical Necessity Letter to Payers: Physician’s Letter of Medical Necessity for Home Health Care per EPSDT (Early and Periodic Screening, Diagnostic and Treatment) mandates. They are provided only as a reference for practices developing their own documentation.
Disclaimer: These sample documents do not represent AAP policy or guidelines. You should consult an attorney who is knowledgeable about the laws of the jurisdiction in which you practice before creating or using any legal documents. All rights reserved.These sample letter templates are provided as a reference for practices developing their own materials and may be adapted to local needs. Primary care physicians were more consistently provided with valued information and given criteria for re-referral.Ĭonsultation letters Diabetes Diabète Discharge letter Letter templates Lettre de congé Lettres de consultation Modèles de lettres Transition des soins Transition of care.Ĭopyright © 2015 Canadian Diabetes Association. The use of a structured discharge letter template improved the content and quality of discharge letters dictated by specialists. 292 words p<0.001) were higher with the template. Dictation time did not differ between formats. Letters completed using the structured discharge letter template were more comprehensive and more likely to contain guidelines on management for glycemic control (51.1% vs. Word count, dictation and transcription times were also compared. The letters were reviewed by 2 independent reviewers and were assessed for content, brevity, clarity, management plan, organization and quality.
Retrospective study of patients treated at the Ottawa Hospital and discharged from the outpatient diabetes clinic between November 1, 2009, and December 1, 2010. The objective was to evaluate the content and quality of discharge letters created using a structured discharge letter template as compared to letters completed without the template. As part of a quality-improvement project to improve the transition from diabetes clinics to primary care physicians, a structured discharge letter template was developed to facilitate the dictation of useful letters by specialists. Primary care physicians have indicated that letters from specialists rarely contain the details they require. Transition from specialists to primary care physicians is dependent on clear communication by means of a discharge letter.
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