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Revised 5/18/2017Critical access hospital (interim rate analysis)
Provider name:
Provider number:
Covered period:From:To:The purpose of reviewing your interim rate is to ensure the rate you are paid
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What is critical access hospital interim?
Critical access hospital interim is a form that must be filed by critical access hospitals to report interim financial data.
Who is required to file critical access hospital interim?
Critical access hospitals are required to file critical access hospital interim.
How to fill out critical access hospital interim?
Critical access hospital interim can be filled out by providing financial data and other required information.
What is the purpose of critical access hospital interim?
The purpose of critical access hospital interim is to provide an update on the financial status of the hospital.
What information must be reported on critical access hospital interim?
Critical access hospital interim must include financial data such as revenue, expenses, and patient volume.
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