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Health Financial Systems GIBSON 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 APPROVED
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What is re ha b i?
Rehabilitation
Who is required to file re ha b i?
Individuals or entities undergoing rehabilitation or involved in the process
How to fill out re ha b i?
Form must be completed accurately and submitted by the deadline
What is the purpose of re ha b i?
To provide information about the rehabilitation process
What information must be reported on re ha b i?
Details about the rehabilitation plan, progress, and goals
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