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2016 ELIGIBLE PROFESSIONAL (EP) PAYMENT ADJUSTMENT RECONSIDERATION APPLICATION SINGLE EP FOR THE MEDICARE ELECTRONIC HEALTH RECORD (EHR) INCENTIVE PROGRAM Please use this application if you are applying

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What is payment adjustment reconsideration application?

Payment adjustment reconsideration application is a formal request to review or overturn a decision regarding payment adjustments.

Who is required to file payment adjustment reconsideration application?

Healthcare providers or organizations who believe a payment adjustment decision was incorrect.

How to fill out payment adjustment reconsideration application?

The application can be filled out online or submitted via mail with detailed information and supporting documentation.

What is the purpose of payment adjustment reconsideration application?

The purpose is to correct any errors in payment adjustments and ensure fair reimbursement.

What information must be reported on payment adjustment reconsideration application?

Details of the original payment adjustment decision, reasons for reconsideration, and any additional relevant information.

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