№ lp_1_2_08235
File format: docx
Character count: 8519
File size: 24 KB
Explanatory federal administrative source describing the legal basis, use, and information collection requirements for CMS attestation worksheets used to determine and periodically verify exclusion of inpatient rehabilitation facilities from the Medicare IPPS.
Document type:
Supporting statement
Related forms:
CMS-437A; CMS-437B
OMB control number:
0938-0986
Regulatory basis:
42 CFR 412.20–412.29
Program:
Medicare
Payment system:
Inpatient Prospective Payment System; Inpatient Rehabilitation Facility Prospective Payment System
Legal authority:
Social Security Act Section 1886(j)
Issuing body:
Centers for Medicare & Medicaid Services
Intended users:
Rehabilitation hospitals; rehabilitation units of hospitals; State Survey Agencies; CMS Regional Offices
Attestation frequency:
Once every three years
Initial publication context:
Federal Register notice of May 15, 2015
Geographic scope:
United States
Source category:
Administrative and regulatory documentation
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2017
Region / City:
N/A
Subject:
Strategic Planning, Human Resources
Document Type:
Workshop Materials
Organization / Institution:
Society for Human Resource Management (SHRM)
Author:
N/A
Target Audience:
HR Professionals, Organizational Leaders
Period of validity:
N/A
Approval Date:
N/A
Modification Date:
N/A
Year:
2003
Region / City:
United States
Topic:
Combat-Related Special Compensation, Concurrent Retirement and Disability Pay
Document Type:
Training Handout
Organization:
Department of Veterans Affairs
Author:
N/A
Target Audience:
VA Staff and Veterans
Period of Validity:
N/A
Approval Date:
N/A
Date of Last Revision:
N/A
Year:
2026
Region / City:
Washington State
Topic:
Child Support Calculation
Document Type:
Legal Form
Agency / Institution:
Washington State Administrative Office of the Courts
Author:
Washington State Government
Target Audience:
Parents and legal professionals involved in child support cases
Effective Period:
Ongoing
Approval Date:
N/A
Amendment Date:
N/A
Year:
2023
Region / City:
Onslow & Carteret Counties
Topic:
Behavior Support, Special Education
Document Type:
Worksheet
Organization / Institution:
Down Syndrome Network of Onslow & Carteret Counties (DSNOCC)
Audience:
Educators, Therapists, Families
Period of Application:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Year
Topic:
Colorectal Cancer Screening
Document Type:
Worksheet
Organization / Institution:
AME Church
Target Audience:
AME Church community members, community partners, public health partners
Year:
2025
Event:
ASHRM Academy 2025
Subject:
Professional development expense estimation and attendance justification
Document Type:
Expense and benefits worksheet
Organization:
ASHRM Academy
Intended Audience:
Health care risk professionals
Key Topics:
Registration costs, travel expenses, hotel accommodation, organizational goals, team development, networking
Related Deadline:
Early Bird registration by February 3
Purpose:
Internal cost estimation and benefit articulation for supervisor approval
Year:
2009
Region / City:
N/A
Topic:
Acceptance and Commitment Therapy, Psychological Worksheets
Document Type:
Handout / Worksheet
Author:
Russ Harris
Target Audience:
Individuals seeking psychological support, therapists
Period of Validity:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Related Source:
Living Beyond Your Pain, J. Dahl & T. Lundgren
Description:
A collection of worksheets from Acceptance and Commitment Therapy designed to help individuals address personal challenges and values in various life domains.
Language:
English
Type of document:
Educational worksheet
Subject:
English as a Second Language (ESL)
Topics:
Restaurant complaints, hotel reservations, travel vocabulary, transportation, vacation activities, making plans, cooking recipe, shopping vocabulary
Format:
Dialogue samples, vocabulary lists, gap-fill exercises, labeling tasks, role-play prompts
Intended audience:
English language learners
Skills focus:
Speaking, reading, vocabulary building, role-play practice
Educational level:
Beginner to elementary
Includes:
Sample dialogues, reservation tables, recipe instructions, question prompts
Named hotels:
Blue Sky Hotel; Seaside Hotel
Recipe title:
Brownie Cookies Recipe
Year:
Not specified
Country:
United States
Program:
EPA WaterSense
Related Program:
ENERGY STAR Portfolio Manager
Issuing Organization:
United States Environmental Protection Agency
Document Type:
Assessment worksheets and guidance document
Subject:
Water efficiency assessment in multifamily housing properties
Applicable Sector:
Multifamily housing
Assessment Scope:
Whole-building or property water use
Score Range Referenced:
1 to 100 EPA Water Score
Worksheets Included:
Property Information; Metering and Billing; Bathroom Suite; Kitchen and Laundry; Landscaping and Irrigation; Pools; HVAC and Mechanical; Summary of Needed Repairs and Replacement Items
Intended Users:
Property owners, managers, facility staff, and vendors
Geographic Applicability:
National (United States)
Related Publication:
WaterSense at Work: Best Management Practices for Commercial and Institutional Facilities
Year:
2023
Region / City:
West Liberty
Subject:
Biology, Microbiology
Document Type:
Advising Worksheet
Institution:
West Liberty University
Author:
Not specified
Target Audience:
Students pursuing a Bachelor of Science in Biology (Microbiology)
Effective Period:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Context:
This document provides a comprehensive advising guide for students pursuing a Bachelor of Science in Biology with a Microbiology major at West Liberty University, outlining required and elective courses, as well as general studies.
Language:
English
Type of Document:
Compilation of online educational resources
Format:
Curated list of websites and links
Subject:
Online education and learning resources
Educational Level:
Early childhood, elementary school, middle school, high school, and adult learning
Topics Covered:
Mathematics, science, history, languages, reading, geography, arts, and general knowledge
Content Elements:
Virtual museum tours, educational games, worksheets, video lessons, science experiments, language learning tools, and academic courses
Intended Audience:
Children, students, parents, and educators
Learning Context:
Home learning and remote education
Geographic Scope:
International
Access Type:
Online websites and digital platforms
Year:
Not specified
Region / city:
Not specified
Subject:
Mathematics
Document type:
Worksheet
Author:
Not specified
Target audience:
AS Level Mathematics students
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Context:
Worksheets designed for AS Level Mathematics students to practice probability concepts.
Program:
WLU/WVU Dental Early Admission Program (D.E.A.P.)
Degree:
Bachelor of Science in Biology (DEAP major)
Institutions:
West Liberty University; West Virginia University School of Dentistry
Document type:
Academic advising worksheet
Field of study:
Biology; Pre-Dentistry
Purpose:
Curriculum planning and eligibility guidance for the DEAP pathway
Required total credits for graduation:
120 semester hours
Upper-level credit requirement:
40 credit hours at the 300–400 level
Minimum GPA requirement:
3.60 overall and in science courses
Observation requirement:
Minimum 10 hours prior to DEAP application and 50 hours prior to graduation in dental practices
Community service requirement:
Minimum 50 hours prior to graduation
Application stage:
Application to WVU School of Dentistry during the summer prior to the senior year
Admission limitation:
Maximum of two students per WVU School of Dentistry entrance year via the DEAP pathway
Testing requirement:
Dental Admissions Test (DAT) scores at or above the average Academic and Perceptual Ability scores of the previous WVU entering dental class
Core curriculum areas:
Communications; Fine Arts/Humanities; Social and Behavioral Sciences; Wellness/Physical Education; Business and Economics
Core science courses:
Biology; Chemistry; Physics; Mathematics
Required major courses:
Anatomy and Physiology; Molecular Biology; Immunology; Microbiology; Genetics; Biochemistry; Internship; Capstone
Restricted electives requirement:
12 credit hours in approved biology electives
Program guidelines:
Structured course sequencing, observation hours in dental practices, community service participation, and adherence to academic and ethical standards
Year:
Not specified
Institution:
Various high schools and universities
Topic:
Normal distribution, empirical rule, bell curve, percentages
Document type:
Educational worksheets
Target audience:
High school and college students
Data type:
Test scores, heights, weights
Tasks included:
Calculation of intervals, percentages within or outside intervals, labeling standard deviations, comparing individual scores to distributions
Statistical measures:
Mean, standard deviation, percentile ranks