High-Quality/Value
Billing and Consulting
Services
Document Name Document Link
Billing for Part B Rehab Services.pdf Download
Comparative Billing Report (Part A).pdf Download
Comparative Billing Report (Part B).pdf Download
CORF - Condition of Participation.pdf Download
CORF - ORF Billing Manual.pdf Download
CORF survey Questionaire - CMS form360 CORF.pdf Download
Credit Balance Report.pdf Download
Diagnosis Codes for an Automatic Exception to CAP.pdf Download
Form to request manual exception to Therapy Cap.pdf Download
Model Letter for Patients on Lifting the Therapy Cap.doc Download
Model Letter for therapists on Lifting the Therapy Cap.doc Download
NEMB - English and Espanol.pdf Download
NPI - CMS form 10114.pdf Download
ORF - Condition of Participation.pdf Download
ORF Survey Questionaire - CMS form 1893.pdf Download
Part A FCSO Reconsideration Request Form.pdf Download
Part B (Carrier) FCSO Reconsideration Request Form.pdf Download
PHP model Ltr on initial certification.pdf Download
Request for Redetermination of Part A Medicare claim.pdf Download
Request for Redetermination of Part B Medicare claim.pdf Download
SSA-1696-U4 Appointment of Representative Form.pdf Download