Fillable Health Financial Systems MCRIF32 FOR ST. JOSEPH'S ... - HFS - hfs illinois

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Health Financial Systems MCRIF32 FOR ST. JOSEPH'S HOSPITAL THIS REPORT IS REQUIRED BY LAW (42 USC 1395g; 42 CFR 413.20(b)). FAILURE TO REPORT CAN RESULT IN ALL INTERIM PAYMENTS MADE SINCE THE BEGINNING OF THE COST REPORT PERIOD BEING DEEMED OVERPAYMENTS (42 USC 1395g). IN LIEU OF FORM CMS-2552-96(04/2005) PREPARED 11/24/2010 8:49 FORM APPROVED OMB NO. 0938-0050 WORKSHEET S PARTS I & II HOSPITAL AND HOSPITAL...
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