WebCheck here if EFT payment is being made to the home office of chain. If you are authorizing EFT payments to the home office of a chain organization of which you are a member, you must attach a letter authorizing the contractor to make payment due the provider of service to the account maintained by the home office of the chain organization. Web09-05 FORM CMS-287-05 3901 3900. HOME OFFICE COSTS - CHAIN OPERATIONS For Medicare and/or Medicaid purposes, a chain organization consists of a group of two or more health care facilities or at least one health care facility and any other business or entity owned, leased, or, through any other device, controlled by one organization.
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WebThe Electronic Funds Transfer (EFT) Authorization Agreement (CMS-588) form is required for: requesting a change to your existing EFT account information. Note: The EFT updates need to be sent to your audit intermediary (AI) for processing. If CGS pays your claims, the AI is responsible for sending updates to CGS. WebSynonyms of chain. 1. a. : a series of usually metal links or rings connected to or fitted into one another and used for various purposes (such as support, restraint, transmission of … download stargate
NC DHSR NHLCS: Change of Ownership of a Nursing Home
WebDec 31, 2024 · Published 12/31/2024. This Provider Address job aid was created to assist Part A and home health and hospice providers in completing and understanding the address sections of the CMS-855A enrollment application. In the charts below you will find the CMS-855A address with each Palmetto GBA department. CMS-855A Address. WebSchedule A, Page 2 Chain Home Office/Certification by Officer of Provider Page 2 Schedule A-1 Summary of Inpatient Days Page 3 Schedule A-2 Determination of Medicare Part B Costs to Offset Page 4 Schedule A-3 Summary of Costs Page 5 Schedule B-1 Tax Costs Page 6 Schedule B-2 Direct Care Costs Pages 7–8 WebChain definition, a series of objects connected one after the other, usually in the form of a series of metal rings passing through one another, used either for various purposes … claudia schiffer fitness dvd