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This document has been edited for spelling and punctuation errors. Centers for Medicare & Medicaid Services ESD HIP: Proposed Rule for Payment Year 2019 MAN Connects National Provider Call Moderator:
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This document is a long-term care transcript in PDF format.
Healthcare professionals and institutions involved in long-term care services may be required to file this document.
The document can be filled out electronically using PDF editing software or by printing it out and completing it by hand.
The purpose of this document is to report and document information related to long-term care services provided.
Information such as patient details, care services provided, dates of service, healthcare provider information, and any other relevant details must be reported.
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