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CLINICAL FACILITY REGISTERED CONTACT DETAILSFacility NumberOperating Name (as per COP)Location (include building/floor/unit #/plot #/coordinates)Space (in sq ft)Licensed Services/SpecialtiesPrimary
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Start by providing the basic details of the co-located provider-based facilities, such as name, address, and contact information.
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Indicate the type of services provided by the facility and specify if it is directly related to a healthcare provider.
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Co-located provider-based facilities are needed by healthcare providers who want to offer expanded services in a separate facility located near their main practice.
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Co-located provider-based facilities are healthcare facilities that are located on the same site as a hospital but operate under the provider's supervision to deliver outpatient services.
Entities that own or operate co-located provider-based facilities must file the required documentation with CMS (Centers for Medicare & Medicaid Services).
Filing requires completing specific forms provided by CMS, detailing the location, services offered, and the relationship to the parent hospital, along with any necessary supporting documentation.
The purpose of co-located provider-based facilities is to improve access to healthcare services by allowing hospitals to extend their services to outpatient locations while maintaining oversight and operational control.
Information such as facility name, location, services offered, operational details, and the relationship to the parent hospital must be reported.
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