Get the free Provider CCN: 140124 Period: - hfs illinois
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Health Financial Systems JOHN H. STROGER JR. HOSP OF COOK CTY 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 payments made since the beginning of the cost reporting period being deemed overpayments (42 USC 1395g). OMB NO. 09380050 HOSPITAL AND HOSPITAL HEALTH CARE COMPLEX COST REPORT CERTIFICATION Provider CCN: 140124 Period: Worksheet S From 12/01/2012 Parts IIII AND SETTLEMENT SUMMARY To...
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How to fill out provider ccn 140124 period
How to fill out provider ccn 140124 period
01
Obtain the Provider CCN 140124 form from the official website or your local healthcare administration.
02
Ensure you have all necessary information, including the provider's name, NPI, and address.
03
Fill in the Provider Identification Information section accurately.
04
Provide the specific service details for the period being reported.
05
Double-check all entries for accuracy to avoid processing delays.
06
Sign and date the application as required.
07
Submit the completed form as per the submission guidelines outlined in the instructions.
Who needs provider ccn 140124 period?
01
Healthcare providers who wish to participate in Medicare services during the specified period.
02
Organizations seeking to verify their provider number status.
03
Billing personnel responsible for submitting claims to Medicare.
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What is provider ccn 140124 period?
The provider CCN 140124 period refers to the specific timeframe during which health service providers must report their data using the provider number 140124. This period is typically established by government healthcare programs or institutions.
Who is required to file provider ccn 140124 period?
Healthcare providers who are associated with the provider number CCN 140124 are required to file during this period. This usually includes hospitals, clinics, and other medical facilities that receive Medicare or Medicaid funding.
How to fill out provider ccn 140124 period?
To fill out the provider CCN 140124 period, providers must collect the necessary data as per the guidelines provided by the governing body, ensure all sections are completed accurately, and submit the form through the designated filing system.
What is the purpose of provider ccn 140124 period?
The purpose of the provider CCN 140124 period is to gather and report data that reflects the provider's services, performance, and compliance with healthcare regulations, which helps in assessing quality and access to care.
What information must be reported on provider ccn 140124 period?
Providers must report information such as patient demographics, service utilization, treatment outcomes, financial data, and any other metrics specified by the governing health authority associated with provider CCN 140124.
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