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Health Financial Systems
ADVOCATE LUTHERAN GENERAL 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
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The time 1108 am refers to a specific time of day, which is twenty-two minutes past eleven in the morning.
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Filling out time 1108 am may involve recording the time as 11:08 am on a form, document, or system where time needs to be indicated.
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