How to find a primary care physician

    • [PDF File]Medicare & You Handbook 2020

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      information you need to make good health care choices. We’re working to update the Medicare resources you already know and trust, and building new ones to work with the technology you use every day. Get improved help with your Medicare choices. We’ve made it easier to find health and drug coverage that works for you. You


    • [PDF File]REASSIGNMENT OF MEDICARE BENEFITS CMS-855R

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      terminate a reassignment of Medicare benefits after enrollment in the Medicare program or make a change in their reassignment of Medicare benefit information using either: • The Internet-based Provider Enrollment, Chain and Ownership System (PECOS), or • The paper CMS-855R application. Be sure you are using the most current version.


    • [PDF File]MEDICARE ENROLLMENT APPLICATION

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      Physicians and non-physician practitioners can apply for enrollment in the Medicare program or make a change in their enrollment information using either: • The Internet-based Provider Enrollment, Chain and Ownership System (PECOS), or • The paper CMS-855I enrollment application. Be sure you are using the most current version.


    • [PDF File]PENNSYLVANIA PREADMISSION SCREENING RESIDENT …

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      PENNSYLVANIA PREADMISSION SCREENING RESIDENT REVIEW (PASRR) IDENTIFICATION LEVEL I FORM (Revised 9/1/2018) This process applies to all nursing facility (NF) applicants, regardless of payer source. All current NF residents must have the appropriate form(s) on his/her record.


    • [PDF File]Disability Report- Adult

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      health care provider to complete this report. If you cannot complete the report, a Social Security Representative will assist you. If you have an appointment, please have the completed report ready when we contact you. If we ask you to do so, please mail the completed report to us ahead of time. Note


    • [PDF File]COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS)

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      the justice system, primary care and for scientific research. Several versions of the C-CCRS have been developed for clinical practice. The Risk Assessment version is three pages long, with the initial page focusing on a checklist of all risk and protective factors that may apply.


    • [PDF File]SECONDARY AUTHORIZATION REQUEST (SAR) FORM Fax to …

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      Urgent care is only applicable if a processing time of greater than 2 business days could seriously jeopardize the life or health of the Veteran or their ability to regain maximum function, OR would subject the Veteran to severe pain that cannot be adequately managed without the care…


    • [PDF File]Form W-9 (Rev. October 2018)

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      Form W-9 (Rev. 10-2018) Page . 2 By signing the filled-out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a


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