Get the free Form CMS-10780 Standard Notice and Consent - OMB 0938-1401
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OMB Control Number: 09381401 Expiration Date: XX/XX/XXXXStandard Notice and Consent Documents Under the No Surprises Act (For use by nonparticipating providers and nonparticipating emergency facilities
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What is form cms-10780 standard notice?
Form CMS-10780 standard notice is a form used by healthcare providers to report any changes in ownership or control.
Who is required to file form cms-10780 standard notice?
Healthcare providers who experience changes in ownership or control are required to file form CMS-10780 standard notice.
How to fill out form cms-10780 standard notice?
Form CMS-10780 standard notice can be filled out online on the CMS website or submitted through mail with all required information.
What is the purpose of form cms-10780 standard notice?
The purpose of form CMS-10780 standard notice is to ensure that CMS is aware of any changes in ownership or control of healthcare providers.
What information must be reported on form cms-10780 standard notice?
The form must include information such as the old and new owner's information, effective date of the ownership change, reason for the change, and any other relevant details.
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