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Get 471-000-71 Appendix. Sharon Valencia - Dhhs Ne

REV. FEBRUARY 3 2014 NEBRASKA DEPARTMENT OF MANUAL LETTER 18-2014 HEALTH AND HUMAN SERVICES MEDICAID SERVICES 471-000-71 Page 1 of 6 Nebraska Medicaid Long-Term Care UB-04 Billing Instructions For Nursing Facility ICF/MR Assisted Living Waiver Hospital Swing Bed and Hospice in Providers These instructions can be used in combination with the CMS-1450 UB-04 claim form instructions in the National Uniform Billing Committee Data Specifications Manua.

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