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KPMG LLP CompuMax 255210 SWEDISH COVENANT HEALTH Provider CCN: 140114In Lieu of Form CMS255210Period : From: 10/01/2017 To: 09/30/2018Run Date: 02/28/2019 Run Time: 08:34 Version: 2018.12 (02/24/2019)HOSPITAL
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How to fill out provider ccn 14-0114
How to fill out provider ccn 14-0114
01
Begin by gathering all necessary information related to the provider.
02
Fill out the provider's legal name in the designated field.
03
Enter the provider's National Provider Identifier (NPI).
04
Provide the provider's Tax Identification Number (TIN).
05
Include the address of the provider’s practice or organization.
06
Ensure all contact information, including phone number and email, is accurate.
07
Review and confirm that all entries are correct and complete.
08
Sign and date the form where required.
09
Submit the completed Provider CCN 14-0114 form to the appropriate Medicare Administrative Contractor.
Who needs provider ccn 14-0114?
01
Healthcare providers who wish to participate in Medicare services.
02
Entities seeking to bill Medicare for healthcare services provided to beneficiaries.
03
Organizations or individuals that require a CMS certification number for reimbursement.
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What is provider ccn 14-0114?
Provider CCN 14-0114 is a specific identification number assigned to healthcare providers by the Centers for Medicare & Medicaid Services (CMS) used for various billing and regulatory purposes.
Who is required to file provider ccn 14-0114?
Healthcare providers who participate in Medicare and who need to report services and information regarding their facilities are required to file provider CCN 14-0114.
How to fill out provider ccn 14-0114?
To fill out provider CCN 14-0114, providers must accurately enter their facility information, including provider details, services rendered, and any other required data as specified in the CMS guidelines.
What is the purpose of provider ccn 14-0114?
The purpose of provider CCN 14-0114 is to facilitate the identification and accountability of healthcare providers for Medicare reporting and billing to ensure compliance with federal regulations.
What information must be reported on provider ccn 14-0114?
The information that must be reported on provider CCN 14-0114 includes provider identifying information, type of services offered, and any relevant data required by the CMS for accurate reimbursement.
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