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Gen 4268 Revised 0608 Fillable Form

Gen 4268 Revised 0608 Fillable Form

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Instructions and help about Gen 4268 Revised 0608 Fillable Form

Hi everyone. Welcome and thanks for joining me today. My name is Thom Ryan with Provider Outreach and Education at WPS Government Health Administrators. I'll be your presenter for this video. Today I'd like to cover facilities enrolling with the CMS form 855A. This video focuses on completing section six for individual  owners or individuals with managing control. On the playlist you'll find other videos for completing the different sections of the 855A. Select the playlist to view these videos. The first thing to do is to locate section six. Move to page 34 and to begin reading the instructions for how to complete section six. I'd like to note a couple of key instructions. You must report at least one managing employee in section six. Do not skip this section entirely. Also, you may need to copy this  section. Report each individual with managing or owning interests. To begin completing section six, move to item a on page 35. Skip the box fo

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