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Medicare Outpatient Observation Notice
Medicare Outpatient Observation Notice (MOON) (CMS-10611)
CMS_10611_MOONinstructions_2022_OSORA
Medicare Outpatient Observation Notice
OMB: 0938-1308
OMB.report
HHS/CMS
OMB 0938-1308
ICR 202212-0938-013
IC 221292
Medicare Outpatient Observation Notice
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1308 can be found here:
2023-01-05 - No material or nonsubstantive change to a currently approved collection
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