TX HHS Form 3618. Resident Transaction Notice

The TX HHS Form 3618, Resident Transaction Notice, is a crucial document used to record and certify resident transactions in various healthcare settings. This form helps administrators track important information about patients' admissions, discharges, and transfers between different types of facilities.

Key features of this form include required fields such as the Medicaid Recipient Number, Social Security Number, and Medicare or Retirement Claim Number. The form also asks for the resident's name, address, vendor number, provider number, and service group information. Important sections to note are the transaction details, including admission and discharge dates, types, and reasons.

This form should be used whenever a resident is admitted, discharged, or transferred between healthcare facilities, such as hospitals, nursing facilities, hospices, or community-based settings. The administrator must certify that the date of the transaction is accurate and not included in the 100% Medicare Part A reimbursement time frame. By completing this form, administrators can ensure compliance with relevant regulations and maintain accurate records for patient care and billing purposes.