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pdfOON – General – Base 1
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 1 of 29
OON – General – Base 2
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 2 of 29
OON – General – Notes
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 3 of 29
OON – Inpatient – Base 1
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 4 of 29
OON – Inpatient – Base 2
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 5 of 29
OON – Inpatient – Base 3
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 6 of 29
OON – Inpatient – Base 4
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 7 of 29
OON – SNF – Base 1
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 8 of 29
OON – SNF – Base 2
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 9 of 29
OON – Number of Groups
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 10 of 29
OON – Groups – Base 1
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 11 of 29
OON – Groups – Base 2
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 12 of 29
POS – General – Base 1
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 13 of 29
POS – General – Base 2
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 14 of 29
POS – General – Base 3
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 15 of 29
POS – General – Base 4
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 16 of 29
POS – General – Base 5
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 17 of 29
POS – General – Base 6
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 18 of 29
POS – Inpatient – Base 1
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 19 of 29
POS – Inpatient – Base 2
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 20 of 29
POS – Inpatient – Base 3
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 21 of 29
POS – Inpatient – Base 4
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 22 of 29
POS – Inpatient – Base 5
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 23 of 29
POS – SNF – Base 1
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 24 of 29
POS – SNF – Base 2
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 25 of 29
POS – Number of Groups
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 26 of 29
POS – Groups – Base 1
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 27 of 29
POS – Groups – Base 2
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 28 of 29
V/T – General – US
Softrams
CY 2021 PBP Data Entry System Screens
CY2021 PBP – Section C
12/09/2019
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 29 of 29
| File Type | application/pdf |
| File Title | CY 2021 PBP Data Entry System Screens |
| Author | Softrams |
| File Modified | 2019-12-09 |
| File Created | 2019-12-09 |