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Health Financial Systems ANDERSON 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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To fill out provider CCN 140289 period, follow these steps:
02
Start by gathering all the necessary information such as the provider's name, contact details, and address.
03
Make sure you have the correct period for which the CCN is being filled out. This could be a monthly, quarterly, or annual period.
04
Begin by entering the provider's name in the designated field on the form.
05
Fill in the contact details of the provider, including their phone number and email address.
06
Provide the full address of the provider, including street address, city, state, and zip code.
07
Enter the specific period for which the CCN is being filled out, ensuring the start and end dates are accurate.
08
Double-check all the information you have entered to ensure accuracy and completeness.
09
Once you are confident with the entered information, submit the completed provider CCN 140289 period form.

Who needs provider ccn 140289 period?

01
Providers who have been assigned the CCN 140289 period are required to fill out this form. This could include healthcare providers, service providers, or any other professionals who have been issued this CCN for reporting purposes.
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The provider CCN 140289 period refers to the specific time window during which healthcare providers must report their data under the Centers for Medicare & Medicaid Services (CMS) using the unique CCN identifier.
Healthcare providers and facilities that are eligible for Medicare and Medicaid services, and that hold the specific CCN 140289, are required to file during this period.
To fill out the provider CCN 140289 period, providers must gather the required data, complete the reporting forms as specified by CMS, and ensure all information is accurate before submission.
The purpose of the provider CCN 140289 period is to ensure that healthcare providers report their operational and financial performance metrics, which are essential for regulatory compliance and quality improvement initiatives.
Providers must report data related to patient care, service utilization, quality metrics, and financial performance that is specified by CMS for the CCN 140289 period.
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