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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 4123
for the current year.
Form 4123 Nursing Services Delivery Log - Billable Activities - Texas
What Is Form 4123?
This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 4123?
A: Form 4123 is a Nursing Services Delivery Log used to document billable activities.
Q: What is the purpose of Form 4123?
A: The purpose of Form 4123 is to document billable activities related to nursing services.
Q: Who uses Form 4123?
A: Form 4123 is used by nursing service providers in Texas.
Q: What are billable activities?
A: Billable activities are activities that can be charged or billed to a patient's insurance or healthcare provider.
Q: What information is recorded on Form 4123?
A: Form 4123 records information such as the date, time, description, and duration of billable activities.
Q: Why is it important to document billable activities?
A: Documenting billable activities is important for accurate billing and reimbursement purposes.
Q: Are there any specific guidelines for completing Form 4123?
A: Yes, it is important to follow the guidelines provided by your nursing service provider or the Texas Department of Health and Human Services when completing Form 4123.
Q: Can Form 4123 be used outside of Texas?
A: Form 4123 is specifically used for nursing services in Texas, so it may not be applicable in other states.
Q: Are there any other forms or documentation required in addition to Form 4123?
A: It is possible that additional forms or documentation may be required by your nursing service provider or the Texas Department of Health and Human Services. It is recommended to consult with them for specific requirements.
Form Details:
- Released on December 1, 2018;
- The latest edition provided by the Texas Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 4123 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
