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RY2017 IMS Health Acute Hospital PayforPerformance Program: Data Extension Request FormInstructions: As published in the EO HHS Technical Specifications Manual, Hospitals must use this form to request
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What is RY2017 MassHealth Acute Hospital Pay-for-Perance Program: Form?

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RY2017 MassHealth Acute Hospital is a form used to report information on acute hospital services provided to MassHealth members during the 2017 fiscal year.
Acute hospitals in Massachusetts that provide services to MassHealth members during the 2017 fiscal year are required to file RY2017 MassHealth Acute Hospital.
Acute hospitals can fill out RY2017 MassHealth Acute Hospital form electronically or manually by providing the required information on the services provided to MassHealth members during the 2017 fiscal year.
The purpose of RY2017 MassHealth Acute Hospital is to collect and report data on acute hospital services provided to MassHealth members to ensure compliance with regulations and improve healthcare quality.
Information such as patient demographics, services provided, costs incurred, and outcomes of care must be reported on RY2017 MassHealth Acute Hospital.
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