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OMB Control Number: 09381401 Expiration Date: 05/31/2025Standard Notice and Consent Documents Under the No Surprises Act (For use by nonparticipating providers and nonparticipating emergency facilities
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How to fill out omb control number 0938-1401
How to fill out omb control number 0938-1401
01
Locate the OMB Control Number field on the form you are filling out.
02
Write 0938-1401 in the designated space.
03
Ensure that the number is clearly written to avoid any confusion.
04
Check that the number matches any guidelines or instructions provided with the form.
05
If applicable, include the date if the form requires a submission date next to the OMB Control Number.
Who needs omb control number 0938-1401?
01
Organizations or individuals who are submitting forms related to healthcare services that fall under the jurisdiction of the Centers for Medicare & Medicaid Services (CMS).
02
Healthcare providers and facilities that need to report services or data to the CMS.
03
Patients who might be involved in programs that require documentation under this control number.
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What is omb control number 0938-1401?
OMB Control Number 0938-1401 is a unique identifier used by the Office of Management and Budget (OMB) to track a specific information collection request requested by the Centers for Medicare & Medicaid Services (CMS), often related to Medicare applications and reporting.
Who is required to file omb control number 0938-1401?
Entities such as healthcare providers, suppliers, and organizations applying for Medicare or related programs are typically required to file under OMB Control Number 0938-1401.
How to fill out omb control number 0938-1401?
To fill out OMB Control Number 0938-1401, applicants must complete the associated forms or applications as directed by CMS, following the instructions provided. This may include providing necessary documentation and data as required.
What is the purpose of omb control number 0938-1401?
The purpose of OMB Control Number 0938-1401 is to ensure proper management and oversight of information collections related to Medicare, which helps facilitate program administration and compliance.
What information must be reported on omb control number 0938-1401?
Information reported under OMB Control Number 0938-1401 may include identification details of the entities, service data, financial information, and any other relevant data required for compliance with Medicare regulations and policies.
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