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Health Financial Systems PULASKI 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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Next, write '04' to represent the minutes. Make sure to include the leading zero.
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Finally, add 'PM' or 'p.m.' after the time to indicate that it is in the afternoon.

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404 pm is a specific time of day, which is 4:04 PM.
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