Form hcfa 339

Form hcfa 339

Download Form hcfa 339




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Date added: 14.03.2015
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To the degree that the information in CMS-339: 1) constitutes commercial or financial improving this form, please write to: CMS, 7500 Security Boulevard,

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Form CMS-339. A. Background. The purpose of Form CMS-339 is to assist the provider in preparing an acceptable cost report and to minimize subsequent Reports on the US Health Care Financing Administration's (HCFA) decision not to release for another four months the revised HCFA Form 339 Provider Cost Form #: CMS 339; Form Title: PROVIDER COST REPORT REIMBURSEMENT QUESTIONNAIRE; Revision Date: 2006-04-30; O.M.B. #: 0938-0301; O.M.B.

CMS Vendor Listing, MACs are not to recommend any vendor programs to providers. May 2, 2012 - Create a New Folder named CMS Forms Go to: www.cms.hhs.gov/Manuals Click on Paper-Based Manuals Scroll to the Chart at the bottom. 16 hours ago - Download Missouri tb screening form. Information: Tuberculosis (TB) Risk Assessment Form. form hcfa 339, form instructor evaluation Per instructions on Form CMS-339, details, including the type of service, wages, and hours associated with each direct patient care related contract must be signingtheofficer'scertificationstatementonform HCFA2552concerningthe representations made in the cost report and in the form HCFA 339. III. PROCEDURE:.(i) CMS form 222-92 Independent Rural Health Clinic/Freestanding and Federally Qualified Health Center Worksheet, including the HCFA 339 Form.

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