Easily Remove Surname Field to the Patient Discharge Form

Reduce time spent on papers managing and Remove Surname Field to the Patient Discharge Form with DocHub

Time is a vital resource that every business treasures and tries to turn into a benefit. When selecting document management software program, focus on a clutterless and user-friendly interface that empowers consumers. DocHub provides cutting-edge tools to improve your document managing and transforms your PDF editing into a matter of one click. Remove Surname Field to the Patient Discharge Form with DocHub to save a lot of time and increase your productiveness.

A step-by-step instructions on the way to Remove Surname Field to the Patient Discharge Form

Drag and drop your document to the Dashboard or upload it from cloud storage services.
Use DocHub advanced PDF editing tools to Remove Surname Field to the Patient Discharge Form.
Change your document and then make more adjustments if required.
Add fillable fields and allocate them to a particular receiver.
Download or send your document to the customers or colleagues to safely eSign it.
Gain access to your documents within your Documents directory at any moment.
Generate reusable templates for frequently used documents.

Make PDF editing an simple and easy intuitive operation that will save you a lot of precious time. Quickly modify your documents and give them for signing without having adopting third-party software. Give attention to relevant tasks and enhance your document managing with DocHub starting today.

PDF editing simplified with DocHub

Seamless PDF editing

Editing a PDF is as simple as working in a Word document. You can add text, drawings, highlights, and redact or annotate your document without affecting its quality. No rasterized text or removed fields. Use an online PDF editor to get your perfect document in minutes.

Smooth teamwork

Collaborate on documents with your team using a desktop or mobile device. Let others view, edit, comment on, and sign your documents online. You can also make your form public and share its URL anywhere.

Automatic saving

Every change you make in a document is automatically saved to the cloud and synchronized across all devices in real-time. No need to send new versions of a document or worry about losing information.

Google integrations

DocHub integrates with Google Workspace so you can import, edit, and sign your documents directly from your Gmail, Google Drive, and Dropbox. When finished, export documents to Google Drive or import your Google Address Book and share the document with your contacts.

Powerful PDF tools on your mobile device

Keep your work flowing even when you're away from your computer. DocHub works on mobile just as easily as it does on desktop. Edit, annotate, and sign documents from the convenience of your smartphone or tablet. No need to install the app.

Secure document sharing and storage

Instantly share, email, and fax documents in a secure and compliant way. Set a password, place your documents in encrypted folders, and enable recipient authentication to control who accesses your documents. When completed, keep your documents secure in the cloud.

Drive efficiency with the DocHub add-on for Google Workspace

Access documents and edit, sign, and share them straight from your favorite Google Apps.

Install now

How to Remove Surname Field to the Patient Discharge Form

4.8 out of 5

15 votes

Welcome to PDF Run! In this video, well guide you on how to fill out a Hospital Discharge Paper! A Discharge Paper is a sample form only for patients who are ready to leave the clinic or hospital. Before discharging patients from the hospital, certain information must be on file. For this purpose, a discharge paper may help to gather patient information, follow-up plan, and any other data needed for a successful discharge. Discharge papers must be kept confidential by hospitals or clinics as it contains detailed information about the patient. This discharge form is simple and straightforward. It contains six parts: Patient Details, Primary Healthcare Professional Details, Admission and Discharge Details, Diagnosis and Procedures, Medication Details, and Prepared by section. To fill out the Discharge Paper, click on the Fill Online button. This will redirect you to PDF Runs online editor. For the first section, enter the required details of the patient. To start, input the first name.

Related features

Import and place images into PDF in Google Chrome

Import and place images into PDF in Internet Explorer

Import and place images into PDF in Microsoft Edge

Import and place images into PDF in Safari

Import and place images into PDF in Mozilla Firefox

Import and place images into PDF in Opera

Import and place images into PDF in Vivaldi

Import and place images into PDF in Brave

Got questions?

Below are some common questions from our customers that may provide you with the answer you're looking for. If you can't find an answer to your question, please don't hesitate to reach out to us.

Contact us

What is field 17 on UB04?

17 Patient Status Required. This code indicates the patients status as of the Through date of the billing period (Field 6). 18-28 Condition Codes Leave blank.

What goes in box 38 on a UB04?

38. Responsible Party Name and Address Enter the responsible party name and address.

What is fl 17 patient discharge status?

Medicare requires that when discharging a patient from an inpatient stay, the discharging facility reports the discharge disposition in the Patient Discharge Status field (FL 17). The claim must include the discharge status code that most accurately reflects the discharge of the patient.

What is a UB-04 form?

The UB04 claim form is used to submit claims for inpatient and outpatient services by institutional facilities (for example, outpatient departments, Rural Health Clinics, chronic dialysis and Adult Day Health Care).

What is field 16 on UB04?

16. Discharge Hour Enter the hour (using a two-digit code below) that the patient entered the facility.

What are the fields of UB-04?

You may be wondering, What does UB-04 mean? Simply put, this form can be used by any institutional provider for billing medical and mental health claims. This uniform billing form was created by The Centers for Medicare and Medicaid (CMS) to be used by institutional providers for claim billing.

What is Box 39 on UB04?

Box 39-41; a-d Value codes and amounts: (Optional) Use these locators to indicate codes and amounts essential to the proper adjudication of the submitted claim. Each form locator contains a three digit field in which to key the indicator code, and a larger free text field in which to designate an applicable amount.

What goes in box 18 on a UB04?

Condition codes are a 2-digit numerical or alphanumeric representation of aspects of a patient, services provided, the type of service venue, and/or billing situations that can impact the processing of an institutional claim by a payer. These codes are listed in boxes 18-28 on the UB04 form.

See why our customers choose DocHub

Great solution for PDF docs with very little pre-knowledge required.

"Simplicity, familiarity with the menu and user-friendly. It's easy to navigate, make changes and edit whatever you may need. Because it's used alongside Google, the document is always saved, so you don't have to worry about it."

Pam Driscoll F
Teacher

A Valuable Document Signer for Small Businesses.

"I love that DocHub is incredibly affordable and customizable. It truly does everything I need it to do, without a large price tag like some of its more well known competitors. I am able to send secure documents directly to me clients emails and via in real time when they are viewing and making alterations to a document."

Jiovany A
Small-Business

I can create refillable copies for the templates that I select and then I can publish those.

"I like to work and organize my work in the appropriate way to meet and even exceed the demands that are made daily in the office, so I enjoy working with PDF files, I think they are more professional and versatile, they allow..."

Victoria G
Small-Business

be ready to get more

Edit and sign PDFfor free

Get started now

Remove Surname Field to the Patient Discharge Form