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Medicare Part A
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Electronic Mailing Lists

Cost Reporting Forms and Instructions Print

Form	Instructions
CMS 222-92 (This is a zip file.)	CMS 222-92 Table of Contents CMS 222-92 Instructions 2990 CMS 222-92 Instructions 2900-2910
CMS 265-94 (ESRD) - (Microsoft® Excel)	CMS 265-94 (ESRD)
CMS 287 -05 (Home Office)(Microsoft® Excel) (This is a zip file.)	CMS 287-05 (Home Office)
CMS 2088-92 (Outpatient Rehab) - (Microsoft® Excel)	CMS 2088-92 (Transmittal 7)
CMS 2552-96 (Transmittal 16) (This is a zip file.)	CMS-2552-96 (Transmittal 16)
CMS 2540-96 (SNF) - (Microsoft® Excel)	CMS 2540-96 (Transmittal 15)
CMS 339 (Provider Cost Report Reimbursement Questionnaire) (Microsoft® Word)	CMS-339 Table of Contents CMS-339 Instructions

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