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Subtotal Inpatient Care Svcs. Lines 2 through 11 Outpatient of Assignable Time HCFA W/S D-2 Subtotal Outpatient Care Svcs. 17. Total Sum of Lines 12 and 16 AllocaTotal tion Inpatient Average HCFA Days OHF Cost Page 2 Per Day Part I Col. 2 / Col. 4 Col. 3 Allocation Dept. Computation of Lesser of Reasonable Cost or Customary Charges Reasonable Cost OHF Page 3 Line 27 Cols. Radiology-Therapeutic charges on filed report are MRI. Reclassified EEG charges as EMG. Determined per cost-to-charge...
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results - illinoisgov is a platform that provides information and updates on various results related to Illinois government.
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