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Change Crosswalk for CMS-1880. 03.01.21.docx

(CMS-1880) Request for Certification as Supplier of Portable X-Ray and Portable X-Ray Survey Report Form

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OMB: 0938-0027

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Revisions to CMS-1880

Request For Certification As Supplier Of Portable X-Ray Services Under The Medicare/Medicaid Program



Previous Page #

Current Page #

Section

Action to be performed

Changes to the Application

Reasons for the Change

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2

Instructions

Instructions moved from page 1 to page 2

The instructions were moved from page 1 to page 2

We moved the instructions to page 2 so that the data collection form could be on page 1 and visible right away. We believe that it is confusing to put the instructions before the form.

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2

Instructions

Instructions reformatted

The instructions were reformatted but no changes were made to the text of these instructions.

The instructions were formatted using bullets for each sentence to separate out each sentence, to make them stand out. We believe that having the instructions formatted into sentences and paragraph is more difficult to follow that instructions that are formatted in a bulleted format.

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1

Data collection fields section

The data collection fields section was separated out and placed on page 1.

The data collection fields section was separated out and placed on page 1.

In the current version of the form, the data collection fields, the instructions, and the PRA disclosure statement are all squished together on one page. The font used in the current version of the form is very small to get all of this text onto one page.

There is no need to try to fit all of this text on one page. We believe that it would be much easier to read and understand the CNS-1880 form, the instructions and the PRA disclosure statement if they were stated in larger font and contained on separate pages.

Therefore, we have separated and moved the data collection fields to page 1 by themselves.

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3

PRA Disclosure Statement

The PRA disclosure statement was separated out and placed on page 3

The PRA disclosure statement was separated out and placed on page 3.

In the current version of the form, the data collection fields, the instructions, and the PRA disclosure statement are all squished together on one page. The font used in the current version of the form is very small to get all of this text onto one page.

There is no need to try to fit all of this text on one page. We believe that it would be much easier to read and understand the CNS-1880 form, the instructions and the PRA disclosure statement if they were stated in larger font and contained on separate pages.

Therefore, we have separated and moved the PRA disclosure statement to page 3 by itself.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorCAROLINE GALLAHER
File Modified0000-00-00
File Created2021-08-16

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