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Page 1 of 1 SN Followup/Recertification C2.00-Page 1 Patient ID: Visit Date: Patient Name: Episode Date: (M0010) CMS Certification Number: (M0140) Race/Ethnicity (Mark all that apply.) (M0014) Branch
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Depending on the specific requirements or regulations of the SN program, follow-up recertification with form C-2 may be mandatory to ensure ongoing eligibility and support.
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sn follow-uprecertification c-2 is a form that needs to be filled out by certain individuals or organizations to provide updated information.
Individuals or organizations who have previously submitted an initial certification form may be required to file sn follow-uprecertification c-2.
To fill out sn follow-uprecertification c-2, you will need to provide updated information as requested on the form and submit it by the deadline.
The purpose of sn follow-uprecertification c-2 is to ensure that the information on file is up-to-date and accurate.
Information such as updated contact information, changes in status or ownership, and any other relevant updates must be reported on sn follow-uprecertification c-2.
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