Pre-Claim Review Demonstration for Inpatient Rehabilitation Facility Services (CMS-10765)

OMB 0938-1420

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10765 Review Choice Demonstration for Inpatient Rehabilitation Facility Services Form and Instruction
CMS-10765-IRF PRA Supporting Statement.docx Supporting Statement A
IRF RCD 60-day Comments and Responses (508).pdf Supplementary Document
CMS-10765 - Comments .pdf Supplementary Document
Review Choice Demonstration for Inpatient Rehabilitation Facility Services Form and Instruction