TX HHS Form 3618. Resident Transaction Notice

The Resident Transaction Notice (TX HHS Form 3618) is a crucial document that helps track and record resident transactions in various healthcare settings. This form is typically filled out by administrators or authorized personnel in hospitals, nursing facilities, hospices, and other long-term care institutions to provide essential information about patient admissions, discharges, and transfers.

The form requires key details such as the recipient's Medicaid number, social security number, and Medicare claim number. It also includes fields for vendor and provider numbers, service group codes, and transaction dates. The administrator must certify that the provided date is accurate and not included in the 100% Medicare Part A reimbursement time frame.

This form plays a vital role in ensuring accurate record-keeping and compliance with regulatory requirements. By filling out this form, administrators can provide essential information about patient transactions, which helps healthcare providers manage their services effectively. Key points to note include:

• The form is used for tracking resident transactions in various healthcare settings.
• The administrator must certify the accuracy of the provided date.
• The form requires key details such as Medicaid and Medicare numbers, vendor and provider numbers, and transaction dates.