Document
Hospital Value-Based Purchasing Program (HVBP) Appeal Request Form
ICR 201307-0938-012 · OMB 0938-1022 · Object 41082701.
This document may belong to an older filing. More recent activity for OMB 0938-1022:
Document Viewer [doc]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 70 · next 2026-04-28 22:19:41)
Missing: html
Download: Source copy (doc)
Loading document viewer…
Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Hospital Value-Based Purchasing Program (HVBP) Appeal Request Form |
| Subject | Hospital Value-Based Purchasing Program (HVBP) Appeal Request Form |
| Author | CMS |
| Last Modified By | CMS |
| File Modified | 2013-04-02 |
| File Created | 2013-03-05 |
| Conversion State | partial |