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Critical Access Hospitals and Hospitals

Medicare Bad Debt Exhibit 2a Template

DSH Hospitals

Medicare Bad Debt Exhibit 2a Template

Medicaid Eligible Days Exhibit 3a Template

Charity Care Charges Exhibit 3b Template

Total Bad Debt Exhibit 3c Template

Home Health

Medicare Bad Debt Exhibit 1a Template

All Others

Medicare Bad Debt Exhibit 1a Template

CPAs | Accountants | Auditors | Advisors | Consultants | DZA PLLC is a locally owned public accounting and advisory firm. Serving critical access hospitals, community health centers, healthcare and not-for-profit organizations in Alaska, Alabama, Arizona, California, Colorado, Idaho, Illinois, Kansas, Louisiana, Missouri, Montana, Nebraska, New Mexico, Nevada, Oklahoma, Oregon, Pennsylvania, Texas, Utah, Washington, and Wyoming. DZA provides assurance, tax, client advisory & accounting services, and Medicare and Medicaid-related services.