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pdf#19 VBID Benefits
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 1 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 1
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 2 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 2
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 3 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 3
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 4 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 4
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 5 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 5
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 6 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 6
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 7 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 7
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 8 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 8
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 9 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 9
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 10 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 10
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 11 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 11
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 12 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 12
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 13 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 13
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 14 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 14
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 15 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 15
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 16 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 16
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 17 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 17
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 18 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Base 18
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 19 of 172
CY 2018 PBP Data Entry System Screens
#19a Reduced Cost Sharing for VBIDS – Notes
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 20 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 1
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 21 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 2
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 22 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 3
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 23 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 4
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 24 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 5
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 25 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 6
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 26 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 7
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 27 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 8
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 28 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 9
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 29 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 10
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 30 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 11
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 31 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1a Inpatient Hospital-Acute – Base 12
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 32 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 1
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 33 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 2
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 34 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 3
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 35 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 4
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 36 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 5
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 37 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 6
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 38 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 7
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 39 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 8
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 40 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 9
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 41 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 10
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 42 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 11
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 43 of 172
CY 2018 PBP Data Entry System Screens
VBID #19A #1b Inpatient Hospital Psychiatric – Base 12
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 44 of 172
VBID 19A #2 SNF – Base 1
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 45 of 172
VBID 19A #2 SNF – Base 2
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 46 of 172
VBID 19A #2 SNF – Base 3
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 47 of 172
VBID 19A #2 SNF – Base 4
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 48 of 172
VBID 19A #2 SNF – Base 5
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 49 of 172
VBID 19A #2 SNF – Base 6
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 50 of 172
VBID 19A #2 SNF – Base 7
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 51 of 172
VBID 19A #2 SNF – Base 8
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 52 of 172
VBID 19A #2 SNF – Base 9
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 53 of 172
VBID 19A #2 SNF – Base 10
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 54 of 172
#19b Additional Benefits for VBIDS
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 55 of 172
CY 2018 PBP Data Entry System Screens
#19b Additional Benefits for VBIDS – Base 1
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 56 of 172
CY 2018 PBP Data Entry System Screens
#19b Additional Benefits for VBIDS – Base 2
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 57 of 172
CY 2018 PBP Data Entry System Screens
#19b Additional Benefits for VBIDS – Base 3
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 58 of 172
CY 2018 PBP Data Entry System Screens
#19b Additional Benefits for VBIDS – Notes
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 59 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 1
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 60 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 2
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 61 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 3
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 62 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 4
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 63 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 5
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 64 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 6
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 65 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 7
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 66 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 8
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 67 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 9
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 68 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 10
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 69 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 11
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 70 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1a Inpatient Hospital-Acute – Base 12
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 71 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 1
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 72 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 2
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 73 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 3
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 74 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 4
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 75 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 5
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 76 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 6
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 77 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 7
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 78 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 8
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 79 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 9
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 80 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 10
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 81 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 11
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 82 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #1b Inpatient Hospital Psychiatric – Base 12
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 83 of 172
VBID 19B #2 SNF – Base 1
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 84 of 172
VBID 19B #2 SNF – Base 2
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 85 of 172
VBID 19B #2 SNF – Base 3
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 86 of 172
VBID 19B #2 SNF – Base 4
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 87 of 172
VBID 19B #2 SNF – Base 5
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 88 of 172
VBID 19B #2 SNF – Base 6
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 89 of 172
VBID 19B #2 SNF – Base 7
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 90 of 172
VBID 19B #2 SNF – Base 8
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 91 of 172
VBID 19B #2 SNF – Base 9
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 92 of 172
VBID 19B #2 SNF – Base 10
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 93 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #3 Cardiac and Pulmonary Rehabilitation Services – Base 1
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 94 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #3 Cardiac and Pulmonary Rehabilitation Services – Base 2
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 95 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #3 Cardiac and Pulmonary Rehabilitation Services – Base 3
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 96 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #3 Cardiac and Pulmonary Rehabilitation Services – Base 4
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 97 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #4c Worldwide Emergency/Urgent Coverage – Base 1
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 98 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #4c Worldwide Emergency/Urgent Coverage – Base 2
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 99 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #4c Worldwide Emergency/Urgent Coverage – Base 3
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 100 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #7b Chiropractic Services – Base 1
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 101 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #7b Chiropractic Services – Base 2
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 102 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #7b Chiropractic Services – Base 3
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 103 of 172
VBID 19B #7f Podiatry Services – Base 1
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 104 of 172
VBID 19B #7f Podiatry Services – Base 2
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 105 of 172
VBID 19B #7f Podiatry Services – Base 3
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 106 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #9d Outpatient Blood Services – Base 1
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 107 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #9d Outpatient Blood Services – Base 2
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 108 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #10b Transportation Services – Base 1
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 109 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #10b Transportation Services – Base 2
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 110 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #10b Transportation Services – Base 3
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 111 of 172
VBID 19B #13a Acupuncture – Base 1
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 112 of 172
VBID 19B #13a Acupuncture – Base 2
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 113 of 172
VBID 19B #13a Acupuncture – Base 3
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 114 of 172
VBID 19B #13b OTC Items – Base 1
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 115 of 172
VBID 19B #13b OTC Items – Base 2
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 116 of 172
VBID 19B #13b OTC Items – Base 3
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 117 of 172
VBID 19B #13c Meal Benefit – Base 1
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 118 of 172
VBID 19B #13c Meal Benefit – Base 2
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 119 of 172
VBID 19B #13c Meal Benefit – Base 3
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 120 of 172
VBID 19B #13d Other 1 – Base 1
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 121 of 172
VBID 19B #13d Other 1 – Base 2
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 122 of 172
VBID 19B #13d Other 1 – Base 3
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 123 of 172
VBID 19B #13e Other 2 – Base 1
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 124 of 172
VBID 19B #13e Other 2 – Base 2
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 125 of 172
VBID 19B #13e Other 2 – Base 3
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 126 of 172
VBID 19B #13f Other 3 – Base 1
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 127 of 172
VBID 19B #13f Other 3 – Base 2
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 128 of 172
VBID 19B #13f Other 3 – Base 3
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 129 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #14b Annual Physical Exam – Base 1
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 130 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #14b Annual Physical Exam – Base 2
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 131 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #14b Annual Physical Exam – Base 3
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 132 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 1
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 133 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 2
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 134 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 3
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 135 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 4
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 136 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 5
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 137 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 6
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 138 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 7
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 139 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 8
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 140 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 9
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 141 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 10
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 142 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #14c Eligible Supplemental Benefits as Defined in Chapter 4 – Base 11
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 143 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #16a Preventive Dental – Base 1
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 144 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #16a Preventive Dental – Base 2
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 145 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #16a Preventive Dental – Base 3
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 146 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #16a Preventive Dental – Base 4
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 147 of 172
CY 2018 PBP Data Entry System Screens
VBID 19B #16a Preventive Dental – Base 5
Fu Associates, Ltd.
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 148 of 172
VBID 19B #16b Comprehensive – Base 1
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 149 of 172
VBID 19B #16b Comprehensive – Base 2
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 150 of 172
VBID 19B #16b Comprehensive – Base 3
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 151 of 172
VBID 19B #16b Comprehensive – Base 4
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 152 of 172
VBID 19B #16b Comprehensive – Base 5
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 153 of 172
VBID 19B #16b Comprehensive – Base 6
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 154 of 172
VBID 19B #17a Eye Exams – Base 1
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 155 of 172
VBID 19B #17a Eye Exams – Base 2
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 156 of 172
VBID 19B #17a Eye Exams – Base 3
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 157 of 172
VBID 19B #17b Eyewear – Base 1
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 158 of 172
VBID 19B #17b Eyewear – Base 2
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 159 of 172
VBID 19B #17b Eyewear – Base 3
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 160 of 172
VBID 19B #17b Eyewear – Base 4
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 161 of 172
VBID 19B #17b Eyewear – Base 5
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 162 of 172
VBID 19B #17b Eyewear – Base 6
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 163 of 172
VBID 19B #18a Hearing Exams – Base 1
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 164 of 172
VBID 19B #18a Hearing Exams – Base 2
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 165 of 172
VBID 19B #18a Hearing Exams – Base 3
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 166 of 172
VBID 19B #18a Hearing Exams – Base 4
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 167 of 172
VBID 19B #18b Hearing Aids – Base 1
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 168 of 172
VBID 19B #18b Hearing Aids – Base 2
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 169 of 172
VBID 19B #18b Hearing Aids – Base 3
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 170 of 172
VBID 19B #18b Hearing Aids – Base 4
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 171 of 172
VBID 19B #18b Hearing Aids – Base 5
Fu Associates, Ltd.
CY 2018 PBP Data Entry System Screens
CY2018 PBP – Section B VBID
12/12/2016
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
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| File Type | application/pdf |
| File Title | CY 2018 PBP Data Entry System Screens - Section B VBID |
| Author | Scott Meyer |
| File Modified | 2017-01-03 |
| File Created | 2017-01-03 |