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Health Financial Systems FAIRFIELD 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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Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services that administers the nation's major healthcare programs.
Healthcare providers, facilities, and suppliers who participate in Medicare or Medicaid programs are required to file Centers for Medicare & Medicaid Services forms.
Centers for Medicare & Medicaid Services forms can be filled out electronically through the CMS website or submitted via mail.
The purpose of Centers for Medicare & Medicaid Services forms is to collect and report data on healthcare services provided to Medicare and Medicaid beneficiaries.
Centers for Medicare & Medicaid Services forms require reporting of healthcare services provided, patient demographics, billing information, and other relevant data.
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