Medicare Financial Management Manual (Pub. 100-06), Ch. 1 § 190
Exhibit of Certification Form - (Rev. 1, 08-30-02)
190 - Exhibit of Certification Form - (Rev. 1, 08-30-02)
A1-1222, B1-4222
Click here to view exhibit of Certification Form.
Medicare Financial Management Manual (Pub. 100-06), Ch. 1 § 190