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PROVIDER CCN: 153025 HEALTHSOUTH DEACONESS REHABILI PERIOD FROM 01/01/2012 TO 12/31/2012KPMG LLP COMPUMAX MICRO SYSTEM IN LIEU OF FORM CMS255210 (08/2011)VERSION: 2012.11 05/17/2013 17:47HOSPITAL
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Gather all necessary personal and medical information needed for the form.
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Complete the patient information section including name, address, date of birth, and contact information.
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Fill out the details of the medical condition or reason for rehabilitation that is being treated at Healthsouth Deaconess Rehabili.
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Who needs healthsouth deaconess rehabili?

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Individuals who require physical therapy or rehabilitation services after an injury or surgery.
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Patients seeking specialized care in a rehabilitation hospital setting.
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HealthSouth Deaconess Rehabilitation Hospital is a healthcare facility that specializes in rehabilitation services for individuals recovering from illness, injury, or surgery, focusing on helping patients regain independence and improve their quality of life.
Individuals who have received rehabilitation services at HealthSouth Deaconess Rehabilitation Hospital may need to file for insurance claims or other relevant documents associated with their treatment.
To fill out the HealthSouth Deaconess Rehabilitation paperwork, patients should collect all necessary personal information, treatment details, and insurance information, and follow the instructions provided by the hospital or healthcare provider.
The purpose of HealthSouth Deaconess Rehabilitation is to provide comprehensive rehabilitation services to help patients recover from disabilities, improve their functional abilities, and enhance their overall health and well-being.
Required information typically includes patient personal details, treatment history, insurance information, and any other relevant medical documentation needed for claims processing or service evaluation.
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