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Form IRS file Signature Authorization for an Exempt Organization8879EOFor calendar year 2017, or fiscal year beginning OMB No. 15451878, 2017, and ending Do not send to the IRS. Keep for your records.
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High Peaks Hospice AMP stands for Annual Medicare Participation. It is a form that hospice providers must submit annually to report their participation in the Medicare program.
All hospice providers who participate in the Medicare program are required to file the High Peaks Hospice AMP.
High Peaks Hospice AMP can be filled out electronically through the Medicare provider portal or by submitting a paper form to the appropriate Medicare contractor.
The purpose of High Peaks Hospice AMP is to collect information from hospice providers about their participation in the Medicare program.
Hospice providers must report information such as their name, address, National Provider Identifier (NPI), services provided, and any changes in ownership or management.
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