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Health Financial Systems
RUSH MEMORIAL HOSPITAL
In Lieu of Form CMS255210
This report is required by law (42 USC 1395g; 42 CFR 413.20(b)). Failure to report can result in all interim FORM APPROVED
payments
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What is rush memorial hospital?
Rush Memorial Hospital is a healthcare facility located in Rushville, Indiana.
Who is required to file rush memorial hospital?
Any individual or entity that has received services from Rush Memorial Hospital and is requested to provide information for filing purposes.
How to fill out rush memorial hospital?
To fill out Rush Memorial Hospital, individuals or entities must provide accurate and up-to-date information regarding the services received.
What is the purpose of rush memorial hospital?
The purpose of Rush Memorial Hospital is to provide quality healthcare services to the community.
What information must be reported on rush memorial hospital?
Information such as patient demographics, medical history, treatments received, and insurance information must be reported on Rush Memorial Hospital.
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