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Fiscal
Public Health
Title | Major Revision | Previous Schedules | Schedule Item | ||
---|---|---|---|---|---|
Annual expenditure report or budget |
submitted to state or federal agency or professional review organization: |
CO2 453; MU1 418; MI1 361 | 722 | ||
Patient's individual financial case record and account |
|
2020 (♦) |
CO2 454; MU1 419; MI1 362 | 723 |
a: Individual case record, account card, or ledger card: |
Medicare, Medicaid or insurance carrier claim records, |
including but not limited to schedule of payments, copy of claim, listing of invalid or rejected claims, vendor payment list, list of claims submitted for payment, and list of checks received: |
2020 (♦) |
CO2 455; MU1 420; MI1 363 | 724 | |
Insurance and reimbursement related reports, |
including Medicare/Medicaid cost report and certified uniform financial or statistical report, and all necessary supporting documentation: |
CO2 456; MU1 421; MI1 364 | 725 | ||
Patient personal property records, |
including log or register of personal property of patients and receipts and related property records of original entry: |
CO2 457; MU1 422; MI1 365 | 727 | ||
Preschool special education claim records, |
filed with the New York State Education Department for reimbursement of administrative costs related to the Children with Special Health Care Needs Program and the Physically Handicapped Children's Program: |
2020 (♦) |
726 |