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Diagnosis Related Groups (DRG) Reimbursement (Two Parts)
Diagnosis Related Groups (DRG) Reimbursement (Two Parts)
Sample Request and Statement
Diagnosis Related Groups (DRG) Reimbursement (Two Parts)
OMB: 0720-0017
OMB.report
DOD/DODOASHA
OMB 0720-0017
ICR 200708-0720-004
IC 5589
Diagnosis Related Groups (DRG) Reimbursement (Two Parts)
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0720-0017 can be found here:
2022-03-29 - Revision of a currently approved collection
2019-01-18 - Revision of a currently approved collection
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2007-08-31
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