Exhibits

70.27 - Exhibits (Rev. 6, 08-30-02) A3-3898.27 Exhibit 1 - Screen 1 of Intermediary Provider Enrollment Quarterly Workload Report. INTERMEDIARY NAME: REPORT PERIOD: INTERMEDIARY NUMBER: CROWD FORM 3 Application Workloads Total (1) Accrued Hospital (2) Non- Accrued Hospital (3) Religious Nonmedical Health Care Hospital (4) Rural Prim Care Hospital (5) 1. Pending End of Last Quarter 2. Adjustments to Pending 3. Adjusted Opening Pending 4. New Applications Received 5. Returned Appls Resubmitted 6. Total Applications Received 7. Applications Approval Recmd 8. Applications Denial Recmd 9. Applications Returned 10. Total Applications Processed 11. Pending End of Quarter SCREEN 1 Exhibit 2 - Screen 2 of Intermediary Provider Enrollment Quarterly Workload Report. INTERMEDIARY NAME: REPORT PERIOD: INTERMEDIARY NUMBER: CROWD FORM 3 Application Workloads SNF (6) HHA (7) Hospice (8) ESRD (9) CORF (10) 1. Pending End of Last Quarter 2. Adjustments to Pending 3. Adjusted Opening Pending 4. New Applications Received 5. Returned Appls Resubmitted 6. Total Applications Received 7. Applications Approval Recmd 8. Applications Denial Recmd 9. Applications Returned 10. Total Applications Processed 11. Pending End of Quarter SCREEN 2 Exhibit 3 - Screen 3 of Intermediary Provider Enrollment Quarterly Workload Report. INTERMEDIARY NAME: REPORT PERIOD: INTERMEDIARY NUMBER: CROWD FORM 3 Application Workloads RHC (11) FQH C (12) CMHC (13) IHS (14) Outpatient Speech Pathology PhysicalTherapy (15) Other (16) 1. Pending End of Last Quarter 2. Adjustments to Pending 3. Adjusted Opening Pending 4. New Applications Received 5. Returned Appls Resubmitted 6. Total Applications Received 7. Applications Approval Recmd 8. Applications Denial Recmd 9. Applications Returned 10. Total Applications Processed 11. Pending End of Quarter SCREEN 3 Exhibit 4 - Screen 4 of Intermediary Provider Enrollment Quarterly Workload Report. INTERMEDIARY NAME: REPORT PERIOD: INTERMEDIARY NUMBER: CROWD FORM 3 Application Workloads Total (1) Accrued Hospital (2) Non- Accrued Hospital (3) Religious Nonmedical Health Care Hospital (4) Rural Prime Care Hospital (5) Reason for Denial Recommendation 12. Sanctioned from Medicare 13. Debarred/Excluded by Other Fed 14. Not Professionally Licensed 15. Business Address Invalid 16. Business Location Not Licensed 17. CMS Requirements Not Met Reason for Return 18. Incomplete 19. Unverifiable Information 20. Not Signed 21. Invalid Billing Agreement 22. Other SCREEN 4 Exhibit 5 - Screen 5 of Intermediary Provider Enrollment Quarterly Workload Report. INTERMEDIARY NAME: REPORT PERIOD: INTERMEDIARY NUMBER: CROWD FORM 3 Application SNF (6) HHA (7) Hospice (8) ESRD (9) CORF (10) Reason for Denial Recommendation 12. Sanctioned from Medicare 13. Debarred/Excluded by Other Fed 14. Not Professionally Licensed 15. Business Address Invalid 16. Business Location Not Licensed 17. CMS Requirements Not Met Reason for Return 18. Incomplete 19. Unverifiable Information 20. Not Signed 21. Invalid Billing Agreement 22. Other SCREEN 5 Exhibit 6 - Screen 6 of Intermediary Provider Enrollment Quarterly Workload Report. INTERMEDIARY NAME: REPORT PERIOD: INTERMEDIARY NUMBER: CROWD FORM 3 Application Workloads RHC (11) FQHC (12) CMHC (13) IHS (14) Outpatient Speech Pathology/ Physical Therapy (15) Other (16) Reasons for Denial Recommendation 12. Sanctioned from Medicare 13. Debarred/Excld by Other Fed 14. Not Professionally Licensed 15. Business Address Invalid 16. Business Location Not Licens 17. CMS Requirements Not Met Reason for Return 18. Incomplete 19. Unverifiable Information 20. Not Signed 21. Invalid Billing Agreement 22. Other SCREEN 6 Exhibit 7 - Screen 7 of Intermediary Provider Enrollment Quarterly Workload Report. INTERMEDIARY NAME: REPORT PERIOD: INTERMEDIARY NUMBER: CROWD FORM 3 Application Workloads Total (1) Accrued Hospital (2) Non- Accrued Hospital (3) Religious Nonmedical Health Care Hospital (4) Rural Prime Care Hospital (5) Application Processing Times 23. Number Under 21 Days 24. Number in 21-30 Days 25. Number in 31-40 Days 26. Number Over 40 Days Age of Applications Pending 27. Number Under 11 Days Old 28. Number 11-20 Days Old 29. Number 21-30 Days Old 30. Number 31-40 Days Old 31. Number Over 40 Days Old SCREEN 7 Exhibit 8 - Screen 8 of Intermediary Provider Enrollment Quarterly Workload Report. INTERMEDIARY NAME: REPORT PERIOD: INTERMEDIARY NUMBER: CROWD FORM 3 Application Workloads SNF (6) HHA (7) Hospice (8) ESRD (9) CORF (10) Application Processing Times 23. Number Under 21 Days 24. Number in 21-30 Days 25. Number in 31-40 Days 26. Number Over 40 Days Age of Applications Pending 27. Number Under 11 Days Old 28. Number 11-20 Days Old 29. Number 21-30 Days Old 30. Number 31-40 Days Old 31. Number Over 40 Days Old SCREEN 8 Exhibit 9 - Screen 9 of Intermediary Provider Enrollment Quarterly Workload Report. INTERMEDIARY NAME: REPORT PERIOD: INTERMEDIARY NUMBER: CROWD FORM 3 Application Workloads RHC (11) FQHC (12) CMHC (13) IHS (14) Outpatient Speech Pathology/ Physical Therapy (15) Other (16) Application Processing Times 23. Number Under 21 Days 24. Number in 21-30 Days 25. Number in 31-40 Days 26. Number Over 40 Days Age of Applications Pending 27. Number Under 11 Days Old 28. Number 11-20 Days Old 29. Number 21-30 Days Old 30. Number 31-40 Days Old 31. Number Over 40 Days Old SCREEN 9 Exhibit 10 - Screens 10 and 11 of Intermediary Provider Enrollment Quarterly Workload Report. SCREEN 10 INTERMEDIARY NAME: REPORT PERIOD: INTERMEDIARY NUMBER: CROWD FORM 3 CHOW Workloads Total (1) Accrued Hospital (2) Non- Accrued Hospital (3) Religious Nonmedical Health Care Hospital (4) Rural Prime Care Hospital (5) 32. Pending End of Last Quarter 33. Adjustments to Pending 34. Adjusted Opening Pending 35. CHOWs Received 36. CHOWs Processed 37. Pending End of Quarter Exhibit 10 (Cont.) Exhibit 10 - Screens 10 and 11 of Intermediary Provider Enrollment Quarterly Workload Report. SCREEN 11 INTERMEDIARY NAME: REPORT PERIOD: INTERMEDIARY NUMBER: CROWD FORM 3 CHOW Workloads SNF (6) HHA (7) Hospice (8) ESRD (9) CORF (10) 32. Pending End of Last Quarter 33. Adjustments to Pending 34. Adjusted Opening Pending 35. CHOWs Received 36. CHOWs Processed 37. Pending End of Quarter Exhibit 11 - Screen 12 of Intermediary Provider Enrollment Quarterly Workload Report. INTERMEDIARY NAME: REPORT PERIOD: INTERMEDIARY NUMBER: CROWD FORM 3 CHOW Workloads RHC (11) FQHC (12) CMHC (13) IHS (14) Outpatient Speech Pathology/Physica l Therapy (15) Other (16) 32. Pending End of Last Quarter 33. Adjustments to Pending 34. Adjusted Opening Pending 35. CHOWs Received 36. CHOWs Processed 37. Pending End of Quarter SCREEN 12