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pdf#1a Inpatient Hospital-Acute – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#1a Inpatient Hospital-Acute – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#1a Inpatient Hospital-Acute – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#1a Inpatient Hospital-Acute – Base 4
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#1a Inpatient Hospital-Acute – Base 5
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#1a Inpatient Hospital-Acute – Base 6
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#1a Inpatient Hospital-Acute – Base 7
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#1a Inpatient Hospital-Acute – Base 8
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#1a Inpatient Hospital-Acute – Base 9
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#1a Inpatient Hospital-Acute – Base 10
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#1a Inpatient Hospital-Acute – Base 11
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#1a Inpatient Hospital-Acute – Base 12
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1a Inpatient Hospital-Acute (B Only) – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1a Inpatient Hospital-Acute (B Only) – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1a Inpatient Hospital-Acute (B Only) – Base 3
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1a Inpatient Hospital-Acute (B Only) – Base 4
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 3
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 4
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 5
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 6
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 7
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 8
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 9
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 10
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 11
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 12
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric (B Only) – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric (B Only) – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric (B Only) – Base 3
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric (B Only) – Base 4
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric (B Only) – Base 5
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF – Base 4
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF – Base 5
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF – Base 6
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF – Base 7
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF – Base 8
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF – Base 9
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF (B Only) – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF (B Only) – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF (B Only) – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF (B Only) – Base 4
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#3 Cardiac and Pulmonary Rehabilitation Services – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#3 Cardiac and Pulmonary Rehabilitation Services – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#3 Cardiac and Pulmonary Rehabilitation Services – Base 3
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#3 Cardiac and Pulmonary Rehabilitation Services – Base 4
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#4a Emergency Care – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#4a Emergency Care – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#4b Urgently Needed Services – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#4b Urgently Needed Services – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#4b Urgently Needed Services – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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CY 2016 PBP Data Entry System Screens
#4c Worldwide Emergency/Urgent Coverage – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#4c Worldwide Emergency/Urgent Coverage – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#4c worldwide Emergency/Urgent Coverage – Base 3
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#5 Partial Hospitalization – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#5 Partial Hospitalization – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#6 Home Health Services – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#6 Home Health Services – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#6 Home Health Services – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#6 Home Health Services – MMP – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#6 Home Health Services – MMP – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#6 Home Health Services – MMP – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#7a Primary Care Physician Services – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#7a Primary Care Physician Services – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#7b Chiropractic Services – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#7b Chiropractic Services – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#7b Chiropractic Services – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#7b Chiropractic Services – Base 4
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#7c Occupational Therapy Services – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#7c Occupational Therapy Services – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#7c Occupational Therapy Services – MMP – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#7c Occupational Therapy Services – MMP – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#7d Physician Specialist Services – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#7d Physician Specialist Services – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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CY 2016 PBP Data Entry System Screens
#7e Mental Health Specialty Services – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#7e Mental Health Specialty Services – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#7e Mental Health Specialty Services – Base 3
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#7f Podiatry Services – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#7f Podiatry Services – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#7f Podiatry Services – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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CY 2016 PBP Data Entry System Screens
#7g Other Health Care Professional – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#7g Other Health Care Professional – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#7h Psychiatric Services – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#7h Psychiatric Services – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#7h Psychiatric Services – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#7i PT and SP Services – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#7i PT and SP Services – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#7i PT and ST – MMP – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#7i PT and ST – MMP – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#8a Outpatient Diag Procs/Tests/Lab Services – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#8a Outpatient Diag Procs/Tests/Lab Services – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#8a Outpatient Diag Procs/Tests/Lab Services – Base 3
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#8a Outpatient Diag Procs/Tests/Lab Services – Base 4
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#8b Outpatient Diag/Therapeutic Rad Services – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#8b Outpatient Diag/Therapeutic Rad Services – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2016 PBP Data Entry System Screens
#8b Outpatient Diag/Therapeutic Rad Services – Base 3
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
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#9a Outpatient Hospital Services – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#9a Outpatient Hospital Services – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#9a Outpatient Hospital Services – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#9b ASC Services – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
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#9b ASC Services – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#9b ASC Services – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#9c Outpatient Substance Abuse – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#9c Outpatient Substance Abuse – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#9c Outpatient Substance Abuse – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#9d Outpatient Blood Services – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#9d Outpatient Blood Services – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
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#10a Ambulance Services – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
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#10a Ambulance Services – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
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#10b Transportation Services – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
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#10b Transportation Services – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
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Page 115 of 244
#10b Transportation Services – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 116 of 244
#11a DME – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 117 of 244
#11a DME – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 118 of 244
#11a DME – MMP – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 119 of 244
#11a DME – MMP – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 120 of 244
CY 2016 PBP Data Entry System Screens
#11b Prosthetics/Medical Supplies – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 121 of 244
CY 2016 PBP Data Entry System Screens
#11b Prosthetics/Medical Supplies – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 122 of 244
CY 2016 PBP Data Entry System Screens
#11b Prosthetics/Medical Supplies – Base 3
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 123 of 244
CY 2016 PBP Data Entry System Screens
#11b Prosthetics/Medical Supplies – MMP – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 124 of 244
CY 2016 PBP Data Entry System Screens
#11c Diabetic Supplies and Services – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 125 of 244
CY 2016 PBP Data Entry System Screens
#11c Diabetic Supplies and Services – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 126 of 244
#12 End-Stage Renal Disease – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 127 of 244
#12 End-Stage Renal Disease – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 128 of 244
#13a Acupuncture – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 129 of 244
#13a Acupuncture – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 130 of 244
#13a Acupuncture – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 131 of 244
#13b OTC Items – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 132 of 244
#13b OTC Items – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 133 of 244
#13b OTC Items – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 134 of 244
#13c Meal Benefit – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 135 of 244
#13c Meal Benefit – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 136 of 244
#13c Meal Benefit – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 137 of 244
#13d Other 1 – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 138 of 244
#13d Other 1 – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 139 of 244
#13d Other 1 – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 140 of 244
#13e Other 2 – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 141 of 244
#13e Other 2 – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 142 of 244
#13e Other 2 – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 143 of 244
#13f Other 3 – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 144 of 244
#13f Other 3 – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 145 of 244
#13f Other 3 – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 146 of 244
CY 2016 PBP Data Entry System Screens
#13g Dual Eligible SNPs with Highly Integrated Services – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 147 of 244
CY 2016 PBP Data Entry System Screens
#13g Dual Eligible SNPs with Highly Integrated Services – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 148 of 244
CY 2016 PBP Data Entry System Screens
#13g Dual Eligible SNPs with Highly Integrated Services – Base 3
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 149 of 244
#13h Additional Services – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 150 of 244
#13h Additional Services – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 151 of 244
#13h Additional Services – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 152 of 244
#13h Additional Services – Base 4
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 153 of 244
#13h Additional Services – Base 5
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 154 of 244
#13h Additional Services – Base 6
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 155 of 244
#13h Additional Services – Base 7
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 156 of 244
#13h Additional Services – Base 8
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 157 of 244
#13h Additional Services – Base 9
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 158 of 244
#13h Additional Services – Base 10
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 159 of 244
#13h Additional Services – Base 11
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 160 of 244
#13h Additional Services – Base 12
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 161 of 244
#13h Additional Services – Base 13
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 162 of 244
#13h Additional Services – Base 14
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 163 of 244
#13h Additional Services – Base 15
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 164 of 244
#13h Additional Services – Base 16
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 165 of 244
#13h Additional Services – Base 17
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 166 of 244
#13h Additional Services – Base 18
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 167 of 244
#13h Additional Services – Base 19
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 168 of 244
#13h Additional Services – Base 20
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 169 of 244
#13h Additional Services – Base 21
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 170 of 244
#13h Additional Services – Base 22
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 171 of 244
#13h Additional Services – Base 23
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 172 of 244
#13h Additional Services – Base 24
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 173 of 244
#13h Additional Services – Base 25
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 174 of 244
#13h Additional Services – Base 26
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 175 of 244
#13h Additional Services – Base 27
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 176 of 244
CY 2016 PBP Data Entry System Screens
#14a Medicare-covered Preventive Services
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 177 of 244
#14b Annual Physical Exam – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 178 of 244
#14b Annual Physical Exam – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 179 of 244
#14b Annual Physical Exam – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 180 of 244
CY 2016 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 181 of 244
CY 2016 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 182 of 244
CY 2016 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 3
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 183 of 244
CY 2016 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 4
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 184 of 244
CY 2016 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 5
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 185 of 244
CY 2016 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 6
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 186 of 244
CY 2016 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 7
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 187 of 244
CY 2016 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 8
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 188 of 244
CY 2016 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 9
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 189 of 244
CY 2016 PBP Data Entry System Screens
#14d Kidney Disease Education Services – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 190 of 244
CY 2016 PBP Data Entry System Screens
#14d Kidney Disease Education Services – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 191 of 244
CY 2016 PBP Data Entry System Screens
#14d Kidney Disease Education Services – Base 3
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 192 of 244
CY 2016 PBP Data Entry System Screens
#14e Diabetes Self-management Training – Base 1
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 193 of 244
CY 2016 PBP Data Entry System Screens
#14e Diabetes Self-management Training – Base 2
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 194 of 244
CY 2016 PBP Data Entry System Screens
#14e Diabetes Self-management Training – Base 3
Fu Associates, Ltd.
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 195 of 244
#15 Medicare Part B Rx Drugs – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 196 of 244
#15 Medicare Part B Rx Drugs – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 197 of 244
#15 Medicare Part B Rx Drugs – Notes
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 198 of 244
#15 Home Infusion Bundled Services
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 199 of 244
#16a Preventive Dental – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 200 of 244
#16a Preventive Dental – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 201 of 244
#16a Preventive Dental – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 202 of 244
#16a Preventive Dental – Base 4
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 203 of 244
#16a Preventive Dental – Base 5
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 204 of 244
#16b Comprehensive Dental – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 205 of 244
#16b comprehensive Dental – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 206 of 244
#16b Comprehensive Dental – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 207 of 244
#16b Comprehensive Dental – Base 4
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 208 of 244
#16b Comprehensive Dental – Base 5
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 209 of 244
#16b Comprehensive Dental – Base 6
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 210 of 244
#17a Eye Exams – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 211 of 244
#17a Eye Exams – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 212 of 244
#17a Eye Exams – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 213 of 244
#17b Eyewear – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 214 of 244
#17b Eyewear – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 215 of 244
#17b Eyewear – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 216 of 244
#17b Eyewear – Base 4
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 217 of 244
#17b Eyewear – Base 5
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 218 of 244
#17b Eyewear – Base 6
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 219 of 244
#18a Hearing Exams – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 220 of 244
#18a Hearing Exams – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 221 of 244
#18a Hearing Exams – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 222 of 244
#18a Hearing Exams – Base 4
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 223 of 244
#18b Hearing Aids – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 224 of 244
#18b Hearing Aids – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 225 of 244
#18b Hearing Aids – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 226 of 244
#18b Hearing Aids – Base 4
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 227 of 244
#18b Hearing Aids – Base 5
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 228 of 244
#20 Outpatient Drugs – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 229 of 244
#20 Outpatient Drugs – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 230 of 244
#20 Outpatient Drugs – Base 3
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 231 of 244
#20 Outpatient Drugs – Base 4
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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Page 232 of 244
#20 Outpatient Drugs – Notes (Optional)
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#20 Outpatient Drugs – Group 1 – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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#20 Outpatient Drugs – Group 1 – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 235 of 244
#20 Outpatient Drugs – Group 2 – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 236 of 244
#20 Outpatient Drugs – Group 2 – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 237 of 244
#20 Outpatient Drugs – Group 3 – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 238 of 244
#20 Outpatient Drugs – Group 3 – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 239 of 244
#20 Outpatient Drugs – Group 4 – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
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Page 240 of 244
#20 Outpatient Drugs – Group 4 – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 241 of 244
#20 Outpatient Drugs – Group 5 – Base 1
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 242 of 244
#20 Outpatient Drugs – Group 5 – Base 2
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 243 of 244
#20 Home Infusion Bundled Services
Fu Associates, Ltd.
CY 2016 PBP Data Entry System Screens
CY2016 PBP – Section B
12/5/2014
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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| File Type | application/pdf |
| File Title | CY 2016 PBP Data Entry System Screens |
| Author | Scott Meyer |
| File Modified | 2014-12-05 |
| File Created | 2014-12-05 |