poa 1 pdf
Form ST-119.2:9/11: Application for an Exempt Organization
If the person is someone other than a trustee or officer of the organization, this application must be accompanied by a power of attorney executed by an
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Claim Diagnosis E Code I Diagnosis Present on Admission
Provider is unable to clinically determine whether condition was present at the time of inpatient admission. CMS will pay the CC/MCC DRG for those selected HACs
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POA-1:6/17:Power of Attorney:poa1
The taxpayers named in section 1 appoint the individuals named in section 2 to act as their representatives with full authority to receive confidential.
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