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Stands. ancsthcsiologists and othcr spccialtics facc hugc cuts to supplcmcnt thc ovcrhcad cost incrcascs for a handful of spccialtics. Thc proposcd changc in PE mcthodology hurts ancsthcsiology morc than most spccialtics bccausc thc data that CMS uscs to calculate ovcrhcad cxpcnscs is outdatcd and appcars to significantly undcrcstimatc actual cxpcnscs. CMS should gathcr ncw ovcrhcad cxpcnsc data to rcplacc thc dccadc-old data currcntly bcing uscd. ASA. many othcr spccialtics and thc AMS arc com.

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You must submit Form CMS-1763 (PDF, Download Adobe Reader) to the Social Security Administration (SSA). Visit or call the SSA (1-800-772-1213) to get this form. You'll need to have a personal interview with Social Security before you can terminate your Medicare Part B coverage.

Form # CMS 1763. Form Title. Request for Termination of Premium Hospital Insurance of Supplementary Medical Insurance.

Send form cms 1763 via email, link, or fax. You can also download it, export it or print it out. Type text, add images, blackout confidential details, add comments, highlights and more. Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

In person: Your local Social Security office. For an office near you check .ssa.gov.

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