51![J15 Part A and HH&H Services Accelerated Payment Certification Name Title J15 Part A and HH&H Services Accelerated Payment Certification Name Title](https://www.pdfsearch.io/img/a318d3c1fcb28714e3eb724d1bf3eb17.jpg) | Add to Reading ListSource URL: www.cgsmedicare.comLanguage: English - Date: 2014-01-15 09:51:42
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52![J15 Part A and HH&H Services Request for Accelerated Payment Provider Provider Number J15 Part A and HH&H Services Request for Accelerated Payment Provider Provider Number](https://www.pdfsearch.io/img/cfbad8985850be25f12b0a60e50005c7.jpg) | Add to Reading ListSource URL: www.cgsmedicare.comLanguage: English - Date: 2014-01-15 09:52:46
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53![J15 A/B Investigational Device Exemption Request Form The following form must be included when submitting your IDE Request. Requests can be submitted via email to [removed] or faxed to J15 A/B Investigational Device Exemption Request Form The following form must be included when submitting your IDE Request. Requests can be submitted via email to [removed] or faxed to](https://www.pdfsearch.io/img/6af24363c65c943a1589997acdc9ef9a.jpg) | Add to Reading ListSource URL: www.cgsmedicare.comLanguage: English - Date: 2014-01-07 13:59:37
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54![Immediate Offset Request Form J15 Part A and HH&H Services For money that Medicare has requested: To initiate a request for immediate offset of an overpayment one of the following options must be selected. Immediate off Immediate Offset Request Form J15 Part A and HH&H Services For money that Medicare has requested: To initiate a request for immediate offset of an overpayment one of the following options must be selected. Immediate off](https://www.pdfsearch.io/img/4bc7ea0fc3a0c923769d75c4c748913b.jpg) | Add to Reading ListSource URL: www.cgsmedicare.comLanguage: English - Date: 2014-08-08 08:54:42
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55![J15 Part A and HH&H Services Request for Accelerated Payment Provider Provider Number J15 Part A and HH&H Services Request for Accelerated Payment Provider Provider Number](https://www.pdfsearch.io/img/e8b9ade85a0e23b7d70c5949879079f6.jpg) | Add to Reading ListSource URL: www.cgsmedicare.comLanguage: English - Date: 2014-01-15 09:52:46
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56![J15 Part A and HH&H Services Accelerated Payment Certification Name Title J15 Part A and HH&H Services Accelerated Payment Certification Name Title](https://www.pdfsearch.io/img/db3b5374d197956341c2e297a8c578f0.jpg) | Add to Reading ListSource URL: www.cgsmedicare.comLanguage: English - Date: 2014-01-15 09:51:42
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57![J15 Communications Application for Testing Date: Address: J15 Correspondence Phone #: [removed]Ohio/Kentucky Part B[removed] (Ohio/Kentucky Part A) J15 Communications Application for Testing Date: Address: J15 Correspondence Phone #: [removed]Ohio/Kentucky Part B[removed] (Ohio/Kentucky Part A)](https://www.pdfsearch.io/img/ec8fa63e2af3445f1f0c5c266a052806.jpg) | Add to Reading ListSource URL: www.cgsmedicare.comLanguage: English - Date: 2013-05-21 10:28:16
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58![J15 Communications Application for Testing Date: Address: J15 Correspondence Phone #: [removed]Ohio/Kentucky Part B[removed] (Ohio/Kentucky Part A) J15 Communications Application for Testing Date: Address: J15 Correspondence Phone #: [removed]Ohio/Kentucky Part B[removed] (Ohio/Kentucky Part A)](https://www.pdfsearch.io/img/c955f7257f1a09b112fa4d9bf62bd35e.jpg) | Add to Reading ListSource URL: cgsmedicare.comLanguage: English - Date: 2013-05-21 10:28:16
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59![Immediate Offset Request Form J15 Part A and HH&H Services For money that Medicare has requested: To initiate a request for immediate offset of an overpayment one of the following options must be selected. Immediate off Immediate Offset Request Form J15 Part A and HH&H Services For money that Medicare has requested: To initiate a request for immediate offset of an overpayment one of the following options must be selected. Immediate off](https://www.pdfsearch.io/img/5e2b2c4befd0a0afa8216975e920c706.jpg) | Add to Reading ListSource URL: www.cgsmedicare.comLanguage: English - Date: 2014-08-08 08:54:42
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60![JURISDICTION 15 PART A OUTREACH & EDUCATION REQUEST FORM The CGS J15 Part A Provider Outreach and Education (POE) team offers many educational opportunities tailored to meet the needs of the health care providers we sup JURISDICTION 15 PART A OUTREACH & EDUCATION REQUEST FORM The CGS J15 Part A Provider Outreach and Education (POE) team offers many educational opportunities tailored to meet the needs of the health care providers we sup](https://www.pdfsearch.io/img/e7610fbede1fee00475467c3950d2e83.jpg) | Add to Reading ListSource URL: www.cgsmedicare.comLanguage: English - Date: 2014-04-09 13:56:49
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