Medicare and Medicare Advantage Programs; Notification Procedures for Hospital Discharges Detailed Notice of Discharge (CMS-10066)

Medicare and Medicare Advantage Programs; Notification Procedures for Hospital Discharges Detaile

OMB: 0938-1019

IC ID: 179807

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Medicare and Medicare Advantage Programs; Notification Procedures for Hospital Discharges Detailed Notice of Discharge (CMS-10066)
 
No Modified
 
Mandatory
 
42 CFR 405.1206 42 CFR 422.622

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10066-SP AVISO DETALLADO SOBRE DADO DE ALTA Detailed Notice Spanish 06 19 07.doc Yes Yes Paper Only
Instruction Detailed Notice Instructions Spanish 06 19 07.doc Yes Yes Paper Only
Form and Instruction CMS-10066 Detailed Notice of Discharge Revised Detailed Notice of Discharge - FINAL 05_2007.doc Yes Yes Paper Only

Health Health Care Services

 

6,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 130,000 0 0 0 0 130,000
Annual IC Time Burden (Hours) 130,000 0 0 0 0 130,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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