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Sample physician query form - Acumentra Health

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This material was prepared by <strong>Acumentra</strong> <strong>Health</strong>, Oregon’s Medicare Quality Improvement Organization, under contract with the Centers for Medicare & Medicaid Services (CMS), an<br />

agency of the U.S. Department of <strong>Health</strong> and Human Services. The contents presented do not necessarily reflect CMS policy.<br />

8SOW-OR-REV-07-06<br />

10/10/07<br />

<strong>Acumentra</strong> <strong>Health</strong> 503-279-0100 www.acumentra.org

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