Document Name Document Type
Form CMS-10210 Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
CMS-10210 Reconsideration Reqeust Paper Form Four_Page_ReconsiderationRequest_English.docx Form and Instruction
CMS-10210 Reconsideration Request Online Form Four_Page_ReconsiderationRequest_English.pdf Form and Instruction
CMS-10210 Hospital Value-Based Program Appeal Request Form HVBP Appeal Request Form_03_2013.pdf Form and Instruction
CMS-10210 Hospital Value Based Review and Correction Request Form HVBP Review and Corrections Request Form_03_2013.pdf Form and Instruction
CMS-10210 Hospital Value-Based Purchasing Program Appeal Request F VBP Appeal Request Form_03_2013.doc Form and Instruction
CMS-10210 Hosptial Value-Based Purchasing Review and Corrections R VBP Review and Corrections Request Form_03_2013.doc Form and Instruction
CMS-10210 Proposed FY2016 Validation Template for CDI cditemplatedraft.xlsx Form and Instruction
CMS-10210 Proposed FY2016 Positive Blood Culture Template FY16_CLABSI_BloodCultureTemplate_proposed.xlsx Form and Instruction
CMS-10210 Proposed FY2016 Positive Urine Culture Template FY16_validation_CAUTI_UrineCultureTemplate_proposed.xlsx Form and Instruction
CMS-10210 Proposed FY2016 Validation Template for MRSA mrsatemplatedraft.xlsx Form and Instruction

            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.