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Form CMS-20017 05/11 Part II Presentation Required Checklist In order to meet the presentation requirements all information stated below must be on page 1 of your presentation in a clear logical format. DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE MEDICAID SERVICES Form Approved OMB No. 20017 ADVISORY PANEL ON AMBULATORY PAYMENT CLASSIFICATION GROUPS Presenter/Presentation Information Checklist Instructions Submit this checklist Parts I and II with your presentation to the...
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