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Medicare State Operations Manual Exhibits How to use this page: The exhibits are in PDF format, which is the format generally used in the IOM to display files. Click on the red button in the 'Download'
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CMS 209 form is a document used by healthcare providers to report information related to the Medicare Cost Report.
Healthcare providers participating in the Medicare program are required to file the CMS 209 form.
To fill out the CMS 209 form, healthcare providers need to provide accurate and detailed information about their costs, revenues, and utilization of Medicare services. The form can be completed electronically or manually.
The purpose of the CMS 209 form is to collect financial and statistical data from healthcare providers to determine Medicare reimbursement rates and ensure proper cost reporting.
On the CMS 209 form, healthcare providers must report various financial and statistical information, including cost centers, revenue codes, patient days, outpatient visits, and Medicare bad debts.
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