Form CMS-381 Model Letter Requesting Identification of Extension Locations

Form CMS-381 Model Letter Requesting Identification of Extension Locations

What Is Form CMS-381?

This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services on June 1, 2006 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form CMS-381?
A: Form CMS-381 is a model letter template.

Q: What is the purpose of Form CMS-381?
A: The form is used to request identification of extension locations.

Q: Who uses Form CMS-381?
A: Healthcare organizations and providers use the form.

Q: What is an extension location?
A: An extension location refers to a healthcare facility or office that is an extension of the main provider location.

Q: Why is it important to identify extension locations?
A: Identification of extension locations is necessary to ensure proper billing and compliance with healthcare regulations.

Q: Are there any specific instructions for filling out Form CMS-381?
A: Yes, detailed instructions are provided with the form.

Q: Is Form CMS-381 mandatory?
A: While not mandatory, it is recommended to use the form to request identification of extension locations.

Q: Can Form CMS-381 be used for locations outside the United States and Canada?
A: No, the form is specific to the United States and Canada.

Q: Is there a fee for submitting Form CMS-381?
A: No, there is no fee for submitting the form.

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Form Details:

  • Released on June 1, 2006;
  • The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CMS-381 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.

Download Form CMS-381 Model Letter Requesting Identification of Extension Locations

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  • Form CMS-381 Model Letter Requesting Identification of Extension Locations, Page 1
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