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BRADFORD REGIONAL MEDICAL CENTER 116 Interstate Parkway, P.O. Box 0218, Bradford, Pennsylvania, 16701-0218 FAX EXPRESS PHONE (814) 362-4222 SMART REGISTRATION Date Therapy Began PT OT Patient Name

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What is 3003441 brmc rehab pt?

3003441 brmc rehab pt refers to a specific form used for reporting rehabilitation services provided at BRMC.

Who is required to file 3003441 brmc rehab pt?

Healthcare providers or facilities offering rehabilitation services at BRMC are required to file 3003441 brmc rehab pt.

How to fill out 3003441 brmc rehab pt?

Providers must accurately document the rehabilitation services provided, patient information, dates of service, and any other necessary details on the form.

What is the purpose of 3003441 brmc rehab pt?

The purpose of 3003441 brmc rehab pt is to track and report rehabilitation services provided at BRMC for billing and compliance purposes.

What information must be reported on 3003441 brmc rehab pt?

Information such as patient demographics, services rendered, dates of service, provider information, and any relevant diagnosis codes must be reported on 3003441 brmc rehab pt.

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