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Hospital Value-Based Purchasing Program (HVBP) Appeal Request Form
ICR 202609-0938-003 · OMB 0938-1022 · Object 172401600.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Hospital Value-Based Purchasing Program (HVBP) Appeal Request Form |
| Subject | Hospital Value-Based Purchasing Program (HVBP) Appeal Request Form |
| Keywords | Inpatient, Hospital Value-Based Purchasing Program, HVBP, Appeal Request Form |
| Author | CMS |
| Last Modified By | Acrobat PDFMaker 26 for Word |
| File Modified | 2026-05-11 |
| File Created | 2026-05-08 |
| Conversion State | complete |