| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55065-7 | Medicare part A - HIPPS code for billing:Type:Pt:^Patient:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 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: | |