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pdfPBP 2010 Data Entry System Screens
SECTION B – 1A – INPATIENT HOSPITAL ACUTE – BASE 1 SCREEN
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CY 2010 PBP PRA Package – Section B
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PBP 2010 Data Entry System Screens
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SECTION B – 1A – INPATIENT HOSPITAL ACUTE – BASE 3 SCREEN
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SECTION B – 1A – INPATIENT HOSPITAL ACUTE – BASE 6 SCREEN
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SECTION B – 1A – INPATIENT HOSPITAL ACUTE – BASE 7 SCREEN
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SECTION B – 1A – INPATIENT HOSPITAL ACUTE – BASE 8 SCREEN
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SECTION B – 1A – INPATIENT HOSPITAL ACUTE – BASE 9 SCREEN
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SECTION B – 1A – INPATIENT HOSPITAL ACUTE – BASE 10 SCREEN
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SECTION B – 1A – INPATIENT HOSPITAL ACUTE (B ONLY) – BASE 1 SCREEN
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SECTION B – 1A – INPATIENT HOSPITAL ACUTE (B ONLY) – BASE 2 SCREEN
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SECTION B – 1A – INPATIENT HOSPITAL ACUTE (B ONLY) – BASE 3 SCREEN
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SECTION B – 1A – INPATIENT HOSPITAL ACUTE (B ONLY) – BASE 4 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL – BASE 1 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL – BASE 2 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL – BASE 3 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL – BASE 4 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL – BASE 5 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL – BASE 6 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL – BASE 7 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL – BASE 8 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL – BASE 9 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL – BASE 10 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL (B ONLY) – BASE 1 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL (B ONLY) – BASE 2 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL (B ONLY) – BASE 3 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL (B ONLY) – BASE 4 SCREEN
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SECTION B – 1B – INPATIENT PSYCHIATRIC HOSPITAL (B ONLY) – BASE 5 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 2 – SNF – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 2 – SNF – BASE 2 SCREEN
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SECTION B – 2 – SNF – BASE 3 SCREEN
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SECTION B – 2 – SNF – BASE 4 SCREEN
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SECTION B – 2 – SNF – BASE 5 SCREEN
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SECTION B – 2 – SNF – BASE 6 SCREEN
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SECTION B – 2 – SNF – BASE 7 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 2 – SNF (B ONLY) – BASE 1 SCREEN
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SECTION B – 2 – SNF (B ONLY) – BASE 2 SCREEN
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SECTION B – 2 – SNF (B ONLY) – BASE 3 SCREEN
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SECTION B – 2 – SNF (B ONLY) – BASE 4 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 3 – CORF – BASE 1 SCREEN
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SECTION B – 3 – CORF – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 4A – EMERGENCY CARE – BASE 1 SCREEN
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SECTION B – 4A – EMERGENCY CARE – BASE 2 SCREEN
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SECTION B – 4A – EMERGENCY CARE – BASE 3 SCREEN
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SECTION B – 4A – EMERGENCY CARE – BASE 4 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 4B –URGENTLY NEEDED SERVICES – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 4B – URGENTLY NEEDED SERVICES – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 4B – URGENTLY NEEDED SERVICES – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 5 – PARTIAL HOSPITALIZATION – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 5 – PARTIAL HOSPITALIZATION – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 6 –HOME HEALTH – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 6 –HOME HEALTH – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 6 –HOME HEALTH – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 6 –HOME HEALTH – BASE 4 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7A – PRIMARY CARE PHYSICIAN – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7A – PRIMARY CARE PHYSICIAN – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7B – CHIROPRACTIC SERVICES – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7B – CHIROPRACTIC SERVICES – BASE 2 SCREEN
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SECTION B – 7B – CHIROPRACTIC SERVICES – BASE 3 SCREEN
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SECTION B – 7B – CHIROPRACTIC SERVICES – BASE 4 SCREEN
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SECTION B – 7C – OCCUPATIONAL THERAPY – BASE 1 SCREEN
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SECTION B – 7C – OCCUPATIONAL THERAPY – BASE 2 SCREEN
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SECTION B – 7D – PHYSICIAN SPECIALIST – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7D – PHYSICIAN SPECIALIST – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7E – MENTAL HEALTH SERVICES – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7E – MENTAL HEALTH SERVICES – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7E – MENTAL HEALTH SERVICES – BASE 3 SCREEN
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SECTION B – 7E – MENTAL HEALTH SERVICES – BASE 4 SCREEN
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SECTION B – 7E – MENTAL HEALTH SERVICES – BASE 5 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7F – PODIATRY SERVICES – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7F – PODIATRY SERVICES – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7F – PODIATRY SERVICES – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7G – OTHER HEALTH CARE PROFESSIONALS – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7G – OTHER HEALTH CARE PROFESSIONALS – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7H – PSYCHIATRIC SERVICES – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7H – PSYCHIATRIC SERVICES – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7H – PSYCHIATRIC SERVICES – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7H – PSYCHIATRIC SERVICES – BASE 4 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7H – PSYCHIATRIC SERVICES – BASE 5 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7I – PHYSICAL THERAPY AND SPEECH-LANGUAGE SERVICES – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 7I – PHYSICAL THERAPY AND SPEECH-LANGUAGE SERVICES – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 8A – OUTPATIENT DIAGNOSTIC PROCEDURES AND TESTS AND LAB SERVICES – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 8A – OUTPATIENT DIAGNOSTIC PROCEDURES AND TESTS AND LAB SERVICES – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 8A – OUTPATIENT DIAGNOSTIC PROCEDURES AND TESTS AND LAB SERVICES – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 8A – OUTPATIENT DIAGNOSTIC PROCEDURES AND TESTS AND LAB SERVICES – BASE 4 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 8B – OUTPATIENT DIAGNOSTIC AND THERAPEUTIC RADIOLOGICAL SERVICES – BASE 1 SCREEN
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CY 2010 PBP PRA Package – Section B
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PBP 2010 Data Entry System Screens
SECTION B – 8B – OUTPATIENT DIAGNOSTIC AND THERAPEUTIC RADIOLOGICAL SERVICES – BASE 2 SCREEN
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CY 2010 PBP PRA Package – Section B
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PBP 2010 Data Entry System Screens
SECTION B – 8B – OUTPATIENT DIAGNOSTIC AND THERAPEUTIC RADIOLOGICAL SERVICES – BASE 3 SCREEN
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CY 2010 PBP PRA Package – Section B
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PBP 2010 Data Entry System Screens
SECTION B – 8B – OUTPATIENT DIAGNOSTIC AND THERAPEUTIC RADIOLOGICAL SERVICES – BASE 4 SCREEN
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CY 2010 PBP PRA Package – Section B
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PBP 2010 Data Entry System Screens
SECTION B – 9A – OUTPATIENT HOSPITAL – BASE 1 SCREEN
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Page 91 of 222
PBP 2010 Data Entry System Screens
SECTION B – 9A – OUTPATIENT HOSPITAL – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 9A – OUTPATIENT HOSPITAL – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 9B – AMBULATORY SURGICAL CENTER SERVICES – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 9B – AMBULATORY SURGICAL CENTER SERVICES – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 9B – AMBULATORY SURGICAL CENTER SERVICES – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 9C – OUTPATIENT SUBSTANCE ABUSE SERVICES – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 9C – OUTPATIENT SUBSTANCE ABUSE SERVICES – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 9C – OUTPATIENT SUBSTANCE ABUSE SERVICES – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 9C – OUTPATIENT SUBSTANCE ABUSE SERVICES – BASE 4 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 9C – OUTPATIENT SUBSTANCE ABUSE SERVICES – BASE 5 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 9D – CARDIAC REHAB SERVICES – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 9D – CARDIAC REHAB SERVICES – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 9D – CARDIAC REHAB SERVICES – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 10A – AMBULANCE – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 10A – AMBULANCE – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 10B – TRANSPORTATION – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 10B – TRANSPORTATION – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 10B – TRANSPORTATION – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 11A – DME – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 11A – DME – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 11B – PROSTHETICS AND MEDICAL SUPPLIES – BASE 1 SCREEN
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SECTION B – 11B – PROSTHETICS AND MEDICAL SUPPLIES – BASE 2 SCREEN
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SECTION B – 11B – PROSTHETICS AND MEDICAL SUPPLIES – BASE 3 SCREEN
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SECTION B – 11C – DIABETES MONITORING SUPPLIES – BASE 1 SCREEN
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SECTION B – 11C – DIABETES MONITORING SUPPLIES – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 12 – RENAL DIALYSIS – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 12 – RENAL DIALYSIS – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 13A – BLOOD SERVICES – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 13A – BLOOD SERVICES – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 13B – ACUPUNCTURE – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 13B – ACUPUNCTURE – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 13B – ACUPUNCTURE – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 13C – PART-C OTC DRUGS – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 13C – PART-C OTC DRUGS – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 13C – PART-C OTC DRUGS – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 13D – MEAL BENEFIT – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 13D – MEAL BENEFIT – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 13D – MEAL BENEFIT – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 13E – OTHER – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 13E – OTHER – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 13E – OTHER – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 14A – HEALTH EDUCATION AND WELLNESS – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 14A – HEALTH EDUCATION AND WELLNESS – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 14A – HEALTH EDUCATION AND WELLNESS – BASE 3 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 135 of 222
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SECTION B – 14A – HEALTH EDUCATION AND WELLNESS – BASE 4 SCREEN
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CY 2010 PBP PRA Package – Section B
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PBP 2010 Data Entry System Screens
SECTION B – 14B – IMMUNIZATIONS – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 14B – IMMUNIZATIONS – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 14B – IMMUNIZATIONS – BASE 3 SCREEN
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CY 2010 PBP PRA Package – Section B
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PBP 2010 Data Entry System Screens
SECTION B – 14C –PHYSICAL EXAMS – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 14C – PHYSICAL EXAMS – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 14C – PHYSICAL EXAMS – BASE 3 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 142 of 222
PBP 2010 Data Entry System Screens
SECTION B – 14C –PHYSICAL EXAMS – BASE 4 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 143 of 222
PBP 2010 Data Entry System Screens
SECTION B – 14D – PAP/PELVIC EXAMS – BASE 1 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 144 of 222
PBP 2010 Data Entry System Screens
SECTION B – 14D – PAP/PELVIC EXAMS – BASE 2 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 145 of 222
PBP 2010 Data Entry System Screens
SECTION B – 14D – PAP/PELVIC EXAMS – BASE 3 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 146 of 222
PBP 2010 Data Entry System Screens
SECTION B – 14D – PAP/PELVIC EXAMS – BASE 4 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 147 of 222
PBP 2010 Data Entry System Screens
SECTION B – 14D – PAP/PELVIC EXAMS – BASE 5 SCREEN
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SECTION B – 14E – PROSTATE SCREENING – BASE 1 SCREEN
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SECTION B – 14E – PROSTATE SCREENING – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 14E – PROSTATE SCREENING – BASE 3 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 14E – PROSTATE SCREENING – BASE 4 SCREEN
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SECTION B – 14F – COLORECTAL SCREENING – BASE 1 SCREEN
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SECTION B – 14F – COLORECTAL SCREENING – BASE 2 SCREEN
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SECTION B – 14F – COLORECTAL SCREENING – BASE 3 SCREEN
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SECTION B – 14F – COLORECTAL SCREENING – BASE 4 SCREEN
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SECTION B – 14F – COLORECTAL SCREENING – BASE 5 SCREEN
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SECTION B – 14G – BONE MASS MEASUREMENT – BASE 1 SCREEN
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SECTION B – 14G – BONE MASS MEASUREMENT – BASE 2 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 14G – BONE MASS MEASUREMENT – BASE 3 SCREEN
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SECTION B – 14H – MAMMOGRAPHY – BASE 1 SCREEN
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PBP 2010 Data Entry System Screens
SECTION B – 14H – MAMMOGRAPHY – BASE 2 SCREEN
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Page 162 of 222
PBP 2010 Data Entry System Screens
SECTION B – 14H – MAMMOGRAPHY – BASE 3 SCREEN
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Page 163 of 222
PBP 2010 Data Entry System Screens
SECTION B – 14H – MAMMOGRAPHY – BASE 4 SCREEN
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Page 164 of 222
PBP 2010 Data Entry System Screens
SECTION B – 14I – DIABETES MONITORING – BASE 1 SCREEN
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Page 165 of 222
PBP 2010 Data Entry System Screens
SECTION B – 14I – DIABETES MONITORING – BASE 2 SCREEN
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Page 166 of 222
PBP 2010 Data Entry System Screens
SECTION B – 14I – DIABETES MONITORING – BASE 3 SCREEN
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SECTION B – 14J – NUTRITION THERAPY FOR DIABETES AND RENAL DISEASE – BASE 1 SCREEN
.
CY 2010 PBP PRA Package – Section B
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SECTION B –14J – NUTRITION THERAPY FOR DIABETES AND RENAL DISEASE – BASE 2 SCREEN
.
CY 2010 PBP PRA Package – Section B
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SECTION B –14J – NUTRITION THERAPY FOR DIABETES AND RENAL DISEASE – BASE 3 SCREEN
.
CY 2010 PBP PRA Package – Section B
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SECTION B – 15 – MEDICARE PART B PRESCRIPTION DRUGS – BASE 1 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 171 of 222
PBP 2010 Data Entry System Screens
SECTION B – 15 – MEDICARE PART B PRESCRIPTION DRUGS – BASE 2 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 172 of 222
PBP 2010 Data Entry System Screens
SECTION B – 15 – MEDICARE PART B PRESCRIPTION DRUGS – BASE 3 SCREEN
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B – 15 – MEDICARE PART B PRESCRIPTION DRUGS – NOTES (OPTIONAL)
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B – 15 – PART C HOME INFUSION DRUGS
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PBP 2010 Data Entry System Screens
SECTION B – 16A – PREVENTIVE DENTAL – BASE 1 SCREEN
.
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Page 176 of 222
PBP 2010 Data Entry System Screens
SECTION B – 16A – PREVENTIVE DENTAL – BASE 2 SCREEN
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Page 177 of 222
PBP 2010 Data Entry System Screens
SECTION B – 16A – PREVENTIVE DENTAL – BASE 3 SCREEN
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Page 178 of 222
PBP 2010 Data Entry System Screens
SECTION B – 16A – PREVENTIVE DENTAL – BASE 4 SCREEN
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Page 179 of 222
PBP 2010 Data Entry System Screens
SECTION B – 16A – PREVENTIVE DENTAL – BASE 5 SCREEN
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Page 180 of 222
PBP 2010 Data Entry System Screens
SECTION B – 16A – PREVENTIVE DENTAL – BASE 6 SCREEN
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Page 181 of 222
PBP 2010 Data Entry System Screens
SECTION B – 16A – PREVENTIVE DENTAL – BASE 7 SCREEN
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Page 182 of 222
PBP 2010 Data Entry System Screens
SECTION B – 16B – COMPREHENSIVE DENTAL – BASE 1 SCREEN
.
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Page 183 of 222
PBP 2010 Data Entry System Screens
SECTION B – 16B – COMPREHENSIVE DENTAL – BASE 2 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 184 of 222
PBP 2010 Data Entry System Screens
SECTION B – 16B – COMPREHENSIVE DENTAL – BASE 3 SCREEN
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Page 185 of 222
PBP 2010 Data Entry System Screens
SECTION B – 16B – COMPREHENSIVE DENTAL – BASE 4 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 186 of 222
PBP 2010 Data Entry System Screens
SECTION B – 16B – COMPREHENSIVE DENTAL – BASE 5 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 187 of 222
PBP 2010 Data Entry System Screens
SECTION B – 16B – COMPREHENSIVE DENTAL – BASE 6 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 188 of 222
PBP 2010 Data Entry System Screens
SECTION B – 17A – EYE EXAMS – BASE 1 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 189 of 222
PBP 2010 Data Entry System Screens
SECTION B – 17A – EYE EXAMS – BASE 2 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 190 of 222
PBP 2010 Data Entry System Screens
SECTION B – 17A – EYE EXAMS – BASE 3 SCREEN
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Page 191 of 222
PBP 2010 Data Entry System Screens
SECTION B – 17B – EYE WEAR – BASE 1 SCREEN
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Page 192 of 222
PBP 2010 Data Entry System Screens
SECTION B – 17B – EYE WEAR – BASE 2 SCREEN
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Page 193 of 222
PBP 2010 Data Entry System Screens
SECTION B – 17B – EYE WEAR – BASE 3 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 194 of 222
PBP 2010 Data Entry System Screens
SECTION B – 17B – EYE WEAR – BASE 4 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 195 of 222
PBP 2010 Data Entry System Screens
SECTION B – 17B – EYE WEAR – BASE 5 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 196 of 222
PBP 2010 Data Entry System Screens
SECTION B – 17B – EYE WEAR – BASE 6 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 197 of 222
PBP 2010 Data Entry System Screens
SECTION B – 18A – HEARING EXAMS – BASE 1 SCREEN
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Page 198 of 222
PBP 2010 Data Entry System Screens
SECTION B – 18A – HEARING EXAMS – BASE 2 SCREEN
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Page 199 of 222
PBP 2010 Data Entry System Screens
SECTION B – 18A – HEARING EXAMS – BASE 3 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 200 of 222
PBP 2010 Data Entry System Screens
SECTION B – 18A – HEARING EXAMS – BASE 4 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 201 of 222
PBP 2010 Data Entry System Screens
SECTION B – 18B – HEARING AIDS – BASE 1 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 202 of 222
PBP 2010 Data Entry System Screens
SECTION B – 18B – HEARING AIDS – BASE 2 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 203 of 222
PBP 2010 Data Entry System Screens
SECTION B – 18B – HEARING AIDS – BASE 3 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 204 of 222
PBP 2010 Data Entry System Screens
SECTION B – 18B – HEARING AIDS – BASE 4 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 205 of 222
PBP 2010 Data Entry System Screens
SECTION B – 18B – HEARING AIDS – BASE 5 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 206 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – BASE 1 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 207 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – BASE 2 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 208 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – BASE 3 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 209 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – BASE 4 SCREEN
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CY 2010 PBP PRA Package – Section B
Page 210 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – NOTES (OPTIONAL)
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CY 2010 PBP PRA Package – Section B
Page 211 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – GROUP 1- BASE 1 SCREEN
.
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Page 212 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – GROUP 1- BASE 2 SCREEN
.
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Page 213 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – GROUP 2- BASE 1 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 214 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – GROUP 2- BASE 2 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 215 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – GROUP 3- BASE 1 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 216 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – GROUP 3- BASE 2 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 217 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – GROUP 4- BASE 1 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 218 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – GROUP 4- BASE 2 SCREEN
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Page 219 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – GROUP 5- BASE 1 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 220 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – OUTPNT DRUGS – GROUP 5- BASE 2 SCREEN
.
CY 2010 PBP PRA Package – Section B
Page 221 of 222
PBP 2010 Data Entry System Screens
SECTION B – 20 – HOME INFUSION DRUGS
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CY 2010 PBP PRA Package – Section B
Page 222 of 222
| File Type | application/pdf |
| File Modified | 2008-12-19 |
| File Created | 2008-12-19 |