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Get CMS-3427 2013

: (V29) _____ In-center nocturnal HD: (V30) _____ 1 26. How is isolation provided? (V32) 1. Room 2. Area (established facilities only) 3. CMS Waiver/Agreement (Attach copy) 27. If applicable, number of hemodialysis stations designated for isolation: (V33) 28. Days & time for in-center patient shifts (check all days that apply and complete time field in military time): (V34) 1st shift starts: M T W Th F Sat Sun Last shift ends: M T W Th F Sat Sun 29. Dialyzer reprocessing system: (V35) 30. S.

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