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pdf#1a Inpatient Hospital-Acute – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#1a Inpatient Hospital-Acute – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#1a Inpatient Hospital-Acute – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#1a Inpatient Hospital-Acute – Base 4
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#1a Inpatient Hospital-Acute – Base 5
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#1a Inpatient Hospital-Acute – Base 6
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#1a Inpatient Hospital-Acute – Base 7
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#1a Inpatient Hospital-Acute – Base 8
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#1a Inpatient Hospital-Acute – Base 9
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#1a Inpatient Hospital-Acute – Base 10
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#1a Inpatient Hospital-Acute – Base 11
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#1a Inpatient Hospital-Acute – Base 12
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#1a Inpatient Hospital-Acute (B Only) – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
#1a Inpatient Hospital-Acute (B Only) – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
#1a Inpatient Hospital-Acute (B Only) – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
#1a Inpatient Hospital-Acute (B Only) – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 5
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 6
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 7
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 8
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 9
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 10
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 11
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric – Base 12
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric (B Only) – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric (B Only) – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric (B Only) – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric (B Only) – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#1b Inpatient Hospital Psychiatric (B Only) – Base 5
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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#2 SNF – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#2 SNF – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#2 SNF – Base 4
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#2 SNF – Base 5
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#2 SNF – Base 6
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#2 SNF – Base 7
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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#2 SNF – Base 8
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#2 SNF – Base 9
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#2 SNF – Base 10
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#2 SNF (B Only) – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#2 SNF (B Only) – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#2 SNF (B Only) – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#2 SNF (B Only) – Base 4
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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CY 2017 PBP Data Entry System Screens
#3 Cardiac and Pulmonary Rehabilitation Services – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
#3 Cardiac and Pulmonary Rehabilitation Services – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#3 Cardiac and Pulmonary Rehabilitation Services – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
#3 Cardiac and Pulmonary Rehabilitation Services – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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#4a Emergency Care – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#4a Emergency Care – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#4b Urgently Needed Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#4b Urgently Needed Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#4b Urgently Needed Services – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#4c Worldwide Emergency/Urgent Coverage – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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CY 2017 PBP Data Entry System Screens
#4c Worldwide Emergency/Urgent Coverage – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#4c Worldwide Emergency/Urgent Coverage – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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#5 Partial Hospitalization – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#5 Partial Hospitalization – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#6 Home Health Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#6 Home Health Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#6 Home Health Services – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#6 Home Health Services – MMP – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#6 Home Health Services – MMP – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#6 Home Health Services – MMP – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#7a Primary Care Physician Services – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
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CY 2017 PBP Data Entry System Screens
#7a Primary Care Physician Services – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
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#7b Chiropractic Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#7b Chiropractic Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#7b Chiropractic Services – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#7b Chiropractic Services – Base 4
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#7c Occupational Therapy Services – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#7c Occupational Therapy Services – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#7c Occupational Therapy Services – MMP – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#7c Occupational Therapy Services – MMP – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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#7d Physician Specialist Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#7d Physician Specialist Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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CY 2017 PBP Data Entry System Screens
#7e Mental Health Specialty Services – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#7e Mental Health Specialty Services – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#7e Mental Health Specialty Services – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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#7f Podiatry Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#7f Podiatry Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#7f Podiatry Services – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#7g Other Health Care Professional – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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#7g Other Health Care Professional – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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#7h Psychiatric Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#7h Psychiatric Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#7h Psychiatric Services – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#7i PT and SP Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#7i PT and SP Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#7i PT and ST – MMP – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#7i PT and ST – MMP – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#8a Outpatient Diag Procs/Tests/Lab Services – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#8a Outpatient Diag Procs/Tests/Lab Services – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#8a Outpatient Diag Procs/Tests/Lab Services – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#8a Outpatient Diag Procs/Tests/Lab Services – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#8b Outpatient Diag/Therapeutic Rad Services – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#8b Outpatient Diag/Therapeutic Rad Services – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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CY 2017 PBP Data Entry System Screens
#8b Outpatient Diag/Therapeutic Rad Services – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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#9a Outpatient Hospital Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#9a Outpatient Hospital Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#9a Outpatient Hospital Services – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#9b ASC Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#9b ASC Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#9b ASC Services – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#9c Outpatient Substance Abuse – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#9c Outpatient Substance Abuse – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#9c Outpatient Substance Abuse – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#9d Outpatient Blood Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#9d Outpatient Blood Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#10a Ambulance Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#10a Ambulance Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#10b Transportation Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
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#10b Transportation Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#10b Transportation Services – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#11a DME – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 118 of 259
#11a DME – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 119 of 259
#11a DME – MMP – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 120 of 259
#11a DME – MMP – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 121 of 259
CY 2017 PBP Data Entry System Screens
#11b Prosthetics/Medical Supplies – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 122 of 259
CY 2017 PBP Data Entry System Screens
#11b Prosthetics/Medical Supplies – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 123 of 259
CY 2017 PBP Data Entry System Screens
#11b Prosthetics/Medical Supplies – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 124 of 259
CY 2017 PBP Data Entry System Screens
#11b Prosthetics/Medical Supplies – MMP – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 125 of 259
CY 2017 PBP Data Entry System Screens
#11c Diabetic Supplies and Services – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 126 of 259
CY 2017 PBP Data Entry System Screens
#11c Diabetic Supplies and Services – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 127 of 259
#12 Dialysis Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 128 of 259
#12 Dialysis Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 129 of 259
#13a Acupuncture – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 130 of 259
#13a Acupuncture – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 131 of 259
#13a Acupuncture – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 132 of 259
#13b OTC Items – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 133 of 259
#13b OTC Items – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 134 of 259
#13b OTC Items – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 135 of 259
#13c Meal Benefit – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 136 of 259
#13c Meal Benefit – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 137 of 259
#13c Meal Benefit – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 138 of 259
#13d Other 1 – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 139 of 259
#13d Other 1 – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 140 of 259
#13d Other 1 – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 141 of 259
#13e Other 2 – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 142 of 259
#13e Other 2 – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 143 of 259
#13e Other 2 – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 144 of 259
#13f Other 3 – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 145 of 259
#13f Other 3 – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 146 of 259
#13f Other 3 – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 147 of 259
CY 2017 PBP Data Entry System Screens
#13g Dual Eligible SNPs with Highly Integrated Services – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 148 of 259
CY 2017 PBP Data Entry System Screens
#13g Dual Eligible SNPs with Highly Integrated Services – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 149 of 259
CY 2017 PBP Data Entry System Screens
#13g Dual Eligible SNPs with Highly Integrated Services – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 150 of 259
#13h Additional Services – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 151 of 259
#13h Additional Services – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 152 of 259
#13h Additional Services – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 153 of 259
#13h Additional Services – Base 4
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 154 of 259
#13h Additional Services – Base 5
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 155 of 259
#13h Additional Services – Base 6
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 156 of 259
#13h Additional Services – Base 7
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 157 of 259
#13h Additional Services – Base 8
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 158 of 259
#13h Additional Services – Base 9
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 159 of 259
#13h Additional Services – Base 10
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 160 of 259
#13h Additional Services – Base 11
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 161 of 259
#13h Additional Services – Base 12
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 162 of 259
#13h Additional Services – Base 13
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 163 of 259
#13h Additional Services – Base 14
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 164 of 259
#13h Additional Services – Base 15
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 165 of 259
#13h Additional Services – Base 16
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 166 of 259
#13h Additional Services – Base 17
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 167 of 259
#13h Additional Services – Base 18
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 168 of 259
#13h Additional Services – Base 19
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 169 of 259
#13h Additional Services – Base 20
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 170 of 259
#13h Additional Services – Base 21
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 171 of 259
#13h Additional Services – Base 22
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 172 of 259
#13h Additional Services – Base 23
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 173 of 259
#13h Additional Services – Base 24
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 174 of 259
#13h Additional Services – Base 25
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 175 of 259
#13h Additional Services – Base 26
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 176 of 259
#13h Additional Services – Base 27
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 177 of 259
#13h Additional Services – Base 28
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 178 of 259
#13h Additional Services – Base 29
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 179 of 259
#13h Additional Services – Base 30
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 180 of 259
#13h Additional Services – Base 31
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 181 of 259
#13h Additional Services – Base 32
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 182 of 259
#13h Additional Services – Base 33
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 183 of 259
#13h Additional Services – Base 34
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 184 of 259
#13h Additional Services – Base 35
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 185 of 259
#13h Additional Services – Base 36
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 186 of 259
#13h Additional Services – Base 37
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 187 of 259
CY 2017 PBP Data Entry System Screens
#14a Medicare-covered Zero Dollar Preventive Services
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 188 of 259
#14b Annual Physical Exam – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 189 of 259
#14b Annual Physical Exam – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 190 of 259
#14b Annual Physical Exam – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 191 of 259
CY 2017 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 192 of 259
CY 2017 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 193 of 259
CY 2017 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 194 of 259
CY 2017 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 195 of 259
CY 2017 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 5
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 196 of 259
CY 2017 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 6
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 197 of 259
CY 2017 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 7
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 198 of 259
CY 2017 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 8
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 199 of 259
CY 2017 PBP Data Entry System Screens
#14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 9
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 200 of 259
CY 2017 PBP Data Entry System Screens
#14d Kidney Disease Education Services – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 201 of 259
CY 2017 PBP Data Entry System Screens
#14d Kidney Disease Education Services – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 202 of 259
CY 2017 PBP Data Entry System Screens
#14d Kidney Disease Education Services – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 203 of 259
CY 2017 PBP Data Entry System Screens
#14e Other Medicare-covered Preventive Services – Base 1
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 204 of 259
CY 2017 PBP Data Entry System Screens
#14e Other Medicare-covered Preventive Services – Base 2
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 205 of 259
CY 2017 PBP Data Entry System Screens
#14e Other Medicare-covered Preventive Services – Base 3
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 206 of 259
CY 2017 PBP Data Entry System Screens
#14e Other Medicare-covered Preventive Services – Base 4
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 207 of 259
CY 2017 PBP Data Entry System Screens
#14e Other Medicare-covered Preventive Services – Base 5
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 208 of 259
CY 2017 PBP Data Entry System Screens
#14e Other Medicare-covered Preventive Services – Base 6
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 209 of 259
CY 2017 PBP Data Entry System Screens
#14e Other Medicare-covered Preventive Services – Base 7
Fu Associates, Ltd.
CY2017 PBP – Section B
12/4/2015
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Page 210 of 259
#15 Medicare Part B Rx Drugs – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 211 of 259
#15 Medicare Part B Rx Drugs – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#15 Medicare Part B Rx Drugs – Notes
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 213 of 259
#15 Home Infusion Bundled Services
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 214 of 259
#16a Preventive Dental – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 215 of 259
#16a Preventive Dental – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 216 of 259
#16a Preventive Dental – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 217 of 259
#16a Preventive Dental – Base 4
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 218 of 259
#16a Preventive Dental – Base 5
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 219 of 259
#16b Comprehensive Dental – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 220 of 259
#16b Comprehensive Dental – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 221 of 259
#16b Comprehensive Dental – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 222 of 259
#16b Comprehensive Dental – Base 4
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 223 of 259
#16b Comprehensive Dental – Base 5
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 224 of 259
#16b Comprehensive Dental – Base 6
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 225 of 259
#17a Eye Exams – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 226 of 259
#17a Eye Exams – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 227 of 259
#17a Eye Exams – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 228 of 259
#17b Eyewear – Base 1
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 229 of 259
#17b Eyewear – Base 2
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#17b Eyewear – Base 3
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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Page 231 of 259
#17b Eyewear – Base 4
Fu Associates, Ltd.
CY 2017 PBP Data Entry System Screens
CY2017 PBP – Section B
12/4/2015
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#18a Hearing Exams – Base 1
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| File Type | application/pdf |
| File Title | CY 2017 PBP Data Entry System Screens - Section B |
| Author | Scott Meyer |
| File Modified | 2015-12-04 |
| File Created | 2015-12-04 |