CMS-10432 Notice of Partication Screen Shot

Inpatient Psychiatric Facility Quality Reporting Program

CMS IPF NoP screen shots_final_508

Inpatient Psychiatric Facility Quality Reporting Program

OMB: 0938-1171

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HR Composite Portal, Notice of Participation

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HR Composite Portal, Notice of Participation

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HR Composite Portal, Notice of Participation

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HR Composite Portal, Notice of Participation

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HR Composite Portal, Notice of Participation

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HR Composite Portal, Notice of Participation

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HR Composite Portal, Notice of Participation

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HR Composite Portal, Notice of Participation

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HR Composite Portal, Notice of Participation

These screen shots are for the Web-Based Notice of Participation function, which is expected to go live
as part of the Hospital Reporting tool set by June 27, 2013. These screen shots are mock-ups of the
expected functionality, which is still in development, and may not be fully representative. A paper-based
form will also be submitted in the PRA package.

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File Typeapplication/pdf
File TitleIPF NoP Screen Shots
SubjectIPF NoP Screen Shots
AuthorCMS
File Modified2013-05-13
File Created2013-05-13

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