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IRF Compliance Testing Documentation Submission

If submitting patient log with PHI, please encrypt the excel file on a CD and send to:

Courier Service U.S. Postal Service
J15 Part A– Provider Reimbursement
Attn: IRF Reviewer
26 Century Blvd STE ST610
Nashville, TN 37214-3685
J15 Part A– Provider Reimbursement
Attn: IRF Reviewer
P.O. Box 20020
Nashville, TN 37202

If the patient log does not contain PHI, please email to J15.reimbursement@cgsadmin.com

NOTE: Failure to submit the patient list timely will result in notification to the CMS Regional Office and may result in your status as an IRF provider being revoked.

Reviewed: 12.02.22

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