Document
Medicare Outpatient Observation Notice
ICR 201612-0938-010 · OMB 0938-1308 · Object 69985401.
This document may belong to an older filing. More recent activity for OMB 0938-1308:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 140 · next 2026-08-02 19:53:28)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Medicare Outpatient Observation Notice |
| Author | xpiration xx/xx/xxxx OMB approval 0938-xxx |
| File Created | 2021-01-23 |
| Conversion State | partial |