| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 90498-7 | MDS v3.0 - RAI v1.17.2 - Medicare part A billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 46501-3 | Date assessment information completed:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 90498-7 | MDS v3.0 - RAI v1.17.2 - Medicare part A billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 90498-7 | MDS v3.0 - RAI v1.17.2 - Medicare part A billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 90498-7 | MDS v3.0 - RAI v1.17.2 - Medicare part A billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 46501-3 | Date assessment information completed:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 90498-7 | MDS v3.0 - RAI v1.17.2 - Medicare part A billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 90498-7 | MDS v3.0 - RAI v1.17.2 - Medicare part A billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 90498-7 | MDS v3.0 - RAI v1.17.2 - Medicare part A billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 90498-7 | MDS v3.0 - RAI v1.17.2 - Medicare part A billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 90498-7 | MDS v3.0 - RAI v1.17.2 - Medicare part A billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 90498-7 | MDS v3.0 - RAI v1.17.2 - Medicare part A billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 90498-7 | MDS v3.0 - RAI v1.17.2 - Medicare part A billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93051-1 | MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93051-1 | MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93051-1 | MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93051-1 | MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93053-7 | MDS v3.0 - RAI v1.17.2 - State Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 93053-7 | MDS v3.0 - RAI v1.17.2 - State Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 93053-7 | MDS v3.0 - RAI v1.17.2 - State Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85814-2 | IRF-PAI - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 93053-7 | MDS v3.0 - RAI v1.17.2 - State Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 93053-7 | MDS v3.0 - RAI v1.17.2 - State Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93051-1 | MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85814-2 | IRF-PAI - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 93053-7 | MDS v3.0 - RAI v1.17.2 - State Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 85814-2 | IRF-PAI - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 93053-7 | MDS v3.0 - RAI v1.17.2 - State Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85814-2 | IRF-PAI - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 93051-1 | MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85814-2 | IRF-PAI - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85814-2 | IRF-PAI - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 93052-9 | MDS v3.0 - RAI v1.17.2 - Alternate state Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 93052-9 | MDS v3.0 - RAI v1.17.2 - Alternate state Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93052-9 | MDS v3.0 - RAI v1.17.2 - Alternate state Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93052-9 | MDS v3.0 - RAI v1.17.2 - Alternate state Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 85814-2 | IRF-PAI - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 93052-9 | MDS v3.0 - RAI v1.17.2 - Alternate state Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93052-9 | MDS v3.0 - RAI v1.17.2 - Alternate state Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 93052-9 | MDS v3.0 - RAI v1.17.2 - Alternate state Medicaid billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93051-1 | MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 93051-1 | MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 93051-1 | MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93051-1 | MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93051-1 | MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85814-2 | IRF-PAI - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 93051-1 | MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93051-1 | MDS v3.0 - RAI v1.17.2 - Insurance billing:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 85814-2 | IRF-PAI - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 85814-2 | IRF-PAI - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 85814-2 | IRF-PAI - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |
| 70127-6 | Signature verifying assessment completion:Pn:Pt:^Patient:Nom: | |