Form CMS-10432 IPFQR (Screen Shots)

Vendor Authorization

Add a vendor- By typing in the first letter of the name of existing vendors, the list will populate with those identified as IPF vendors.

Update Vendor Authorization- If a vendor had been previously selected- this allows the facility to update.

Notice of Participation

Facility enters their CCN

In order to add an NOP, the facility must first add a minimum of 2 contacts.

Completing the Notice of Participation

Data Accuracy and Completeness Acknowledgement

Select the Program

Enter the CCN

HBIPS Measure Screen Shot From FY 2014

HBIPS2

HBIPS 3

HBIPS 4 & 5

HBIPS 6

HBIPS 7