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Get CMS-370 2002-2024

URSUANT TO SECTION 1832(a)(2)(F) OF THE SOCIAL SECURITY ACT) For the purpose of establishing eligibility for payment under title XVIII of the Social Security Act, (Insert Name of Facility) hereinafter referred to as the Ambulatory Surgical Center, hereby agrees: (A) to maintain compliance with the conditions set forth in part 416 of chapter IV, title 42 of the Code of Federal Regulations, and to report promptly to the Centers for Medicare & Medicaid Services (CMS) any failure to do so; (B) n.

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