Supplemental to Form CMS-2552-10: Weighted Median Medicare Advantage Organization Payer- Specific Negotiated Charge Data (CMS-10935)

OMB 0938-1486

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10935 Median Payer-Specific Negotiated Charge Data Worksheet Form
CMS-10935_ Supporting Statement A_CMS-1834-FC.docx Supporting Statement A
Weighted Median MAO Payer-Specific Negotiated Charge Data Crosswalk.pdf Supplementary Document
Median Payer-Specific Negotiated Charge Data Worksheet Form