Worksheet for Recording Results of Medicare Site Visits of Independent Diagnostic Testing Facilities (IDTFs)

Worksheet for Recording Results of Medicare Site Visits of Independent Diagnostic Testing Facilities (IDTFs) (CMS-10221)

OMB: 0938-1029

IC ID: 181196

Documents and Forms

Document Name Document Type
Form CMS-10221 Worksheet for Recording Results of Medicare Site Visits of Independent Diagnostic Testing Facilities (IDTFs) Form and Instruction
CMS-10221 Site Investigation for Independent Diagnostic Testing Facilities Application CMS-10221 - IDTFs Instrument rev.pdf Form and Instruction