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Get Cms-473b 2019-2025
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How to fill out the CMS-473B online
The CMS-473B is a vital form used for documenting rehabilitation hospital criteria. This step-by-step guide will help you understand how to accurately complete this form online, ensuring compliance with Medicare requirements.
Follow the steps to fill out the CMS-473B form correctly.
- Click the ‘Get Form’ button to retrieve the form and open it in the online editor.
- Enter the facility name and address including city, state, and zip code in the designated fields.
- Indicate the survey date by selecting the appropriate month, day, and year.
- Provide the number of beds in the hospital by entering the figure in the specified area.
- Fill in the section regarding the related Medicare provider number.
- Verify each response as the hospital representative, ensuring all questions are answered truthfully, and cross-reference with appropriate medical personnel if necessary.
- Complete each of the regulatory requirements boxes labeled as ‘YES,’ ‘NO,’ or ‘N/A’ based on your assessment.
- Review all entries for accuracy before proceeding.
- Once completed, you may save your changes, download a copy of the form, print it, or share it as required.
Ensure your form is completed correctly by following these steps and submitting your CMS-473B online.
You can obtain your PS&R by logging into your CMS account and requesting it from the appropriate section. Alternatively, you may contact CMS customer service for assistance. Access to your PS&R is crucial for understanding billing performance.
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