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Table of Contents State Plan Amendment SPA 190007 Physicians Anesthesia Fees Effective 03/01/2019 This file contains the following documents in order listed: 1. 2. 3. 4.CMS Approval Letter CMS Form

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01

Obtain a 19-0007 physicians anesformsia fees form from the relevant authority.

02

Read the instructions carefully before filling out the form.

03

Provide your personal information, including your name, contact details, and any necessary identification numbers.

04

Indicate the relevant dates and period for which the fees are being reported.

05

Specify the anesthesia services provided and the corresponding fees for each service.

06

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Who needs 19-0007 physicians anesformsia fees?

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Healthcare professionals, specifically physicians who provide anesthesia services, need to fill out the 19-0007 physicians anesformsia fees form. This form is required for reporting and documenting the fees charged for anesthesia services rendered.

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