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2019 2020STATE OF DELAWAREResetNURSING FACILITY QUALITY ASSESSMENT REPORTING FORMDepartment of FinanceDivision of Revenue 820 N. French Street P.O. Box 2340 Wilmington, DE 198992340Print Form REV
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How to fill out rev code 0028-20
How to fill out rev code 0028-20
01
To fill out rev code 0028-20, follow these steps:
02
Start by entering the patient's name and demographic information at the top of the form.
03
Next, indicate the date of service and the facility where the service was provided.
04
In the 'Revenue Code' section, enter '0028-20' to designate the specific code.
05
Provide a clear and concise description of the service or procedure performed.
06
Include any relevant diagnosis codes or medical conditions that support the need for this service.
07
If applicable, enter the number of units or quantity of the service provided.
08
Finally, review the form for accuracy and completeness before submitting it for billing or record-keeping purposes.
Who needs rev code 0028-20?
01
Rev code 0028-20 is typically used by healthcare providers, such as hospitals, outpatient clinics, or ambulatory surgery centers.
02
It is specifically used to report charges for durable medical equipment (DME), including wheelchairs, walkers, or other assistive devices.
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Patients who receive these services or utilize DME may also encounter rev code 0028-20 on their medical bills or insurance claims.
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What is rev code 0028-20?
Rev code 0028-20 refers to a specific revision code used in tax reporting, particularly related to certain financial transactions or business operations.
Who is required to file rev code 0028-20?
Entities or individuals involved in transactions relevant to the coded activity or mandated by tax regulations are required to file rev code 0028-20.
How to fill out rev code 0028-20?
To fill out rev code 0028-20, you need to provide the relevant financial data and specific details as outlined in the instructions provided by the tax authority.
What is the purpose of rev code 0028-20?
The purpose of rev code 0028-20 is to categorize and report specific types of transactions or deductions, thereby facilitating accurate tax assessment and compliance.
What information must be reported on rev code 0028-20?
Information that must be reported includes transaction details, relevant dates, amounts, and related party information as required by the tax regulation.
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