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REGION 4 RECOVERY AUDIT CONTRACTOR DISCUSSION PERIOD SUBMISSION FORM PART A: HOSPITALS/SKILLED NURSING FACILITIES To:HMS Part A Discussion Period Reviewal:(702) 2405595 From: Date: Phone Number: Fax

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How to fill out discussion period submission form

01

Begin by opening the discussion period submission form.

02

Fill in your personal details such as name, email, and contact number.

03

Next, provide information about the topic or subject of discussion.

04

Clearly state the purpose or objective of the discussion.

05

Add any supporting documents or evidence if required.

06

Mention the preferred date, time, and location for the discussion period.

07

Finally, review the form for completeness and accuracy before submitting it.

Who needs discussion period submission form?

01

Anyone who wants to initiate a discussion period or submit a proposal for discussion.

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What is discussion period submission form?

The discussion period submission form is a document used to submit information to initiate a discussion period.

Who is required to file discussion period submission form?

Anyone who wants to initiate a discussion period is required to file the discussion period submission form.

How to fill out discussion period submission form?

To fill out the discussion period submission form, you need to provide relevant information as per the guidelines provided by the authority.

What is the purpose of discussion period submission form?

The purpose of the discussion period submission form is to gather information and initiate a discussion period on a particular topic or issue.

What information must be reported on discussion period submission form?

The information that must be reported on the discussion period submission form includes details about the topic or issue, the purpose of the discussion period, and contact information.

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