evekhm/cms_iom_500 huggingface dataset:
(Medicare Claims Processing Manual)
The MSN pages use two different column layouts, full page and two- column.  Full-page layouts are 7.5 inches or 540 points wide with 0.5- inch margins on each side, as stated above.  The Notice title, Foreign Language Footer, Section Title, and Claims section use this layout.  This layout may be used on just a portion of a page, with the remainder of the pa ge content split across two columns.  Two-column layouts have two separate 259 point columns with a 22 point gutter between, also with 0.5- inch margins on each side.  The Summary section, Making the Most of Your Medicare section, Claims definitions, and Appeals section use this layout.  In the specifications below, a given subsection may be described as being one -column wide; this means that the subsections content runs within one column in a two- column layout.   C. Type & Graphic Styles   The MSN uses two t ypefaces, Minion (serif) and CMS Myriad (sans serif) in Opentype format. Minion is a standard system font.  The CMS Myriad font is customized for CMS use; the font file contains additional glyphs to be used in the MSN. (Font files may be requested from CMS , or may be included with Chapter 21 on an enclosed CD.)   Type & Graphics Glossary:   Alignment:  The positioning of text within the page margins.  Alignment can be flush left, flush right, justified, or centered.  Flush left and flush right are sometimes referred to as left justified and right justified.   Baseline:   The imaginary line on which the ma jority of the characters in a typeface rest.   Body Text:   The paragraphs in a document that make up the bulk of its content.  The body text should be set in an appropriate and easy -to-read face, typically at 10 - or 12-point size.   Glyph:   The word glyph is  used differently in different contexts.  In the context of modern computer operating systems, it is often defined as a shape in a font that is used to represent a character code on screen or paper.  The most common example of a glyph is a letter, but the symbols and shapes in a font like ITC Zapf Dingbats are also glyphs.
(Medicare Claims Processing Manual)
Header:   The short lines of emphasized text that introduce detail information in the body text that follows.  Also the category of faces that are designed to work best in headline text.  Italic:   A slanting or script -like version of a face.  The upright faces are often referred to as Roman.   Leading (pronounced: ledding) :  The amount of space added between lines of text to make the document legible.  The term originally referred to the th in lead spacers that printers used to physically increase space between lines of metal type.  Most applications automatically apply standard leading based on the point size of the font.  Closer leading fits more text on the page, but decreases legibility.  Looser leading spreads text out to fill a page and makes the document easier to read.  Leading can also be negative, in which case the lines of text are so close that they overlap or touch.   Letterspacing:   Adjusting the average distance between letters i n a block of text to fit more or less text into the given space or to improve legibility.  Kerning allows adjustments between individual letters; letterspacing is applied to a block of text as a whole.  Letterspacing is sometimes referred to as tracking or  track kerning.   Margin:   The white spaces around text blocks.  Margins typically need to be created on the edges of a page, since most printers can't print to the very edge.  White space also makes a document look better and easier to read.   Point:   A uni t of measure in typography.  There are approximately 72 points to the inch.  A pica is 12 points.  Point Size:   The common method of measuring type.  The distance from the top of the highest ascender to the bottom of the lowest descender in points.  In Eur ope, type is often measured by the cap -height in millimeters.   Rule:   A solid or dashed graphic line in documents used to separate the elements of a page.  Rules and other graphic devices should be used sparingly, and only for clarifying the function of ot her elements on the page.   Sans Serif:   A type face that does not have serifs generally a low -contrast design.  Sans serif faces lend a clean, simple appearance to documents.   Serif :  Small decorative strokes that are added to the end of a letter's main strokes.  Serifs improve readability by leading the eye along the line of type.
(Medicare Claims Processing Manual)
Serif :  Small decorative strokes that are added to the end of a letter's main strokes.  Serifs improve readability by leading the eye along the line of type.   Style:   One of the variations in appearance, such as italic and bold, that make up the faces in a type family.     In most instances, Myriad is used for headers and for benefi ciary -specific and dynamic information. Minion is typically used for instructional body text.   MSN MACs should:    Use the exact type point sizes and leading in the specifications.    Use uppercase and lowercase letters, as well as bold printing, throughout t he form, except as specifically noted in the specifications.    Not print text in italic type. In instances where italic is typically used, as in document titles, quotes are used instead (e.g., Medicare & You handbook).  See below for a list of the different type styles used in printing the MSN.  The styles described below will be referenced throughout the detailed section and subsection specifications that follow.  All elements can be assumed to be printed in 100% black, unless otherwise noted.   The naming  convention of the different style groups are based on usage.  Type Header is abbreviated to TH, Type Body to TB, Graphic style to GR, and Glyph to GL.   TYPE HEADER STYLES  Code  Name  Font  Point Size Leading  TH 1.1  Notice Title  Myriad Bold  25 pt  25 pt  TH 1.2 Notice Subtitle  Myriad Regular  22 pt  25 pt  TH 1.3  Notice Subtitle Alternate  Myriad Regular  18 pt  25 pt  TH 1.4  Notice Subtitle Alternate 2  Myriad Regular  17 pt  25 pt  TH 2  Section Name  Myriad Bold  21 pt  22 pt  TH 3  Body Header  Myriad Bold  14 pt  16 pt  TH 4  Claim Date  Myriad Bold  16 pt  18 pt  TH 5.1  Claim Column Title  Myriad Semibold  10 pt  10 pt  TH 5.2  Claim Column Maximum  Myriad Bold  10 pt  10 pt
(Medicare Claims Processing Manual)
TYPE BODY STYLES  Code  Name  Font  Point Size Leading  TB 1.1  Body Text  Minion Regular  12 pt  15 pt  TB 1.2  Body Highlight  Minion Bold  12 pt  15 pt  TB 1.3  Alternate Address Text 1  Minion Bold  11 pt  12 pt  TB 1.4  Alternate Address Text 2  Minion Bold  10 pt  11 pt  TB 2.1  Bene Data Text  Myriad Regular  12 pt  15 pt  TB 2.2  Bene Data Highlight  Myriad Bold  12 pt  15 pt  TB 3  Notice Title Tagline  Minion Regular  11 pt  25 pt   GRAPHIC STYLES AND SPACING  Code  Name  Graphic Style  Space Before  Space After  GR 1  Gray Fill  15% tint of black  N/A N/A GR 2.1  Black Rule  2 pt black line  0 points  6 points  GR 2.2  Black Rule only  2 pt black line  N/A N/A GR 3.1  Dotted Rule  1 pt dotted line  7 points  6 points  GR 3.2  Dotted Rule 2  1 pt dotted line  0 points  7 points  GR 3.3  Dotted Rule 3  1 pt dotted line  5 points  7 points  GR 4.1  Space after header  No rule  14 points  0 points  GR 4.2  Space after icon  No rule  10 points  0 points  GR 5  Space after text  No rule  7 points  0 points  GR 6  Space between paragraphs  No rule  12 points  0 points    D. Glyphs & Static Print Elements  There are several locations on the MSN that require the insertion of graphic elements.   FLASH IMAGE  Code  Name  Location  Size Sample  GL 1  HHS Seal  Page 1  72 pt x 72 pt   GL 2  Foreign -Language Footer  Page 1  540 pt x 27 pt  See section 10.3.3.J  GL 3  Check logo  Pay MSN  540 pt x 27 pt  See section 10.3.9.C  GL 4  Notice Title, Part A  Pay MSN  540 pt x 27 pt  See section 10.3.9.D  GL 5  Notice Title, Part B  Pay MSN  540 pt x 27 pt  See section 10.3.9.D  GL 6  Notice Title, Part A and Part B  Pay MSN  540 pt x 27 pt  See section 10.3.9.D  GL 7  HHS Seal for envelope  Envelope  57.5 pt x 57.5 pt  GL 8  Envelope Liner  Envelope   See section 10.3.10.D  GL 9  RRB Logo  Page 1 of RRB Part B MSNs  70 pt  x 70 pt
(Medicare Claims Processing Manual)
GL 8  Envelope Liner  Envelope   See section 10.3.10.D  GL 9  RRB Logo  Page 1 of RRB Part B MSNs  70 pt  x 70 pt    GR 7  Appeals Form  White fill and 0.5 pt black line all around box  N/A N/A GR 8  Space after Notice Title  No rule  17 points  0 points  GLYPHS  Smaller icons used in headers can be found in CMS Myriad font file as glyphs.  Code  Name  Location  Size Character Code  Sample  GL 9  Check This Notice  Page 2  15 pt x 15 pt    GL 10  Report Fraud  Page 2  15 pt x 15 pt    GL 11  Get Help  Page 2  15 pt x 15 pt    GL 12  Benefit Period  Page 2  15 pt x 15 pt    GL 13  Preventive Services  Page 2  15 pt x 15 pt    GL 14  Messages from Medicare  Page 2  15 pt x 15 pt    GL 15  Claims Continued Arrow  Claims  N/A    E. Language & Style Conventions   The MSN generally follows CMS conventions for style and language use.  One MSN -specific convention is noted below:   facility vs. provider vs. supplier   When describing the provider of the claimed services on an MSN, different terms are used for the different extended family members: Part A Inpatient and B of A  use facility, Part B (assigned and unassigned) use provider, and DME notices (assigned and unassigned) use supplier.   F. Organizing Principles for Specifications   The specifications that follow can be assumed to apply globally; when specifications vary by extended family member, the specifications will indicate which instructions apply globally and which relate to a particular member or members of the extended family.   The specificati ons are organized into chunks that relate to the individual subsections of the notice.  Each unit of specifications will typically contain:  POSITION    Instructions relating to the position of the subsection and its elements. The position coordinates are ba sed on top and left edge of margin set as (0, 0). Adjust measurement according to margins used.    Dimensions of content area and spacing between subsections.   Specifications per section, listed by page position: top, left column, then right column.  FORMA TTING    All figures are style and layout examples. Any magenta guides are for layout reference only and are not to be printed. Refer to exhibits for accurate printed examples.
(Medicare Claims Processing Manual)
FORMA TTING    All figures are style and layout examples. Any magenta guides are for layout reference only and are not to be printed. Refer to exhibits for accurate printed examples.    Graphic example of subsection with type formats, graphic style and spacing used, and the content to which those formats are applied.   Line by line code containing type, graphic, and spacing styles.   DYNAMIC RULES    Description of any dynamically generated content within the section, and what rules should be applied to generate the content.   CONTENT    Language and other specific content that should appear.    General specifications are presented in Roman text. Type formats are indicated by bracketed codes (e.g., [TH 1.1]). Content that should be replicated on the MSN is presented in ita lic type; dynamic elements within the content are surrounded by curly brackets, {like this}.  In addition to figures for each subsection, exhibits are available for full MSNs for the base design family and worst -case scenarios.  Reference will be made to corresponding files as needed.   10.3.3 - Specifications for Section 1: Summary (Page 1)  (Rev. 11510, Issued: 07- 28-22, Effective: 01- 01-23, Implementation: 01- 03-23)  A. Notice Title   This section names the notice, specifies the function of the notice and the Medicare program under which the notices claims are paid, and identifies the Federal agencies responsible for generating the notice.   GLOBAL SPECIFICATIONS   POSITION   This subsection contains information of a fixed size.  It does not vary in overall width or length.   The content area begins (0, 0), and is full page or 540 points in width, 72 points in height.   The Department of Health & Human Services seal, a flash image, is 72 points by 72 points.  Indent 9 points from the seal to start the three t ext elements.   MACs are not to change the format of the Notice Title subsection in order to use double window envelopes.
(Medicare Claims Processing Manual)
MACs are not to change the format of the Notice Title subsection in order to use double window envelopes.     FORMATTING  [GL 1] DHHS Seal  [TH 1.1] notice title  [TH 1.2] notice subtitle, indicating to which Medicare program the notice relate s [TB 3] notice descriptive tagline  NOTE:  Pagination specification on next subsection NOTE:  Use [TH 1.3] or [TH1.4] instead of [TH 1.2] for combined subtitle to fit in one line. NOTE:  Use [TH 1.4] only if using [TH 1.3] for combined subtitle will not fit i n one line.  DYNAMIC RULES   The notice subtitle is dynamically generated based on which type(s) of claims are present on the MSN:    Only claims paid by the Part A program;    Part B, B of A, or DME claims -  all of which are paid by the Part B program; or    A combination of Part A Inpatient and B of A claims that are paid by both Part A and Part B.    PART A INPATIENT, HOSPICE, AND HOME HEALTH (A) SPECIFICATIONS   CONTENT   Notices with only claims paid by the Part A program should have text content as follows:   Medicare Summary Notice  for Part A (Hospital Insurance)  The Official Summary of Your Medicare Claims from the Centers for Medicare & Medicaid Services   PART B (ASSIGNED & UNASSIGNED), HOME HEALTH (B), B OF A, AND DME SPECIFICATIONS  CONTENT  Notices with  only claims paid by the Part B program should have text content as follows:   Medicare Summary Notice  for Part B (Medical Insurance)  The Official Summary of Your Medicare Claims from the Centers for Medicare & Medicaid Services   COMBINED PART A INPATIENT AND B OF A SPECIFICATIONS   CONTENT   Notices that include both claims paid by the Part A program and also claims paid by the Part B programs -  as on notices that have both inpatient hospital claims and outpatient B of A claims -  should have text content  as follows:   Medicare Summary Notice  for Part A (Hospital Insurance) and Part B (Medical Insurance)  The Official Summary of Your Medicare Claims from the Centers for Medicare & Medicaid Services   B. Pagination
(Medicare Claims Processing Manual)
Medicare Summary Notice  for Part A (Hospital Insurance) and Part B (Medical Insurance)  The Official Summary of Your Medicare Claims from the Centers for Medicare & Medicaid Services   B. Pagination   The page number indicator, in the format Pag e 1 of #, must include the dynamically generated total page count for the notice in the second numeric position. Refer to specimen on section A for type style and placement relative to Notice title.   NOTE:  This specification is for pagination on page 1 onl y.  See section 10.3.4 for pagination included on page header for other pages.  POSITION   This subsection contains information of a fixed size. It does not vary in overall height but may vary in width depending on total page count.   The content area begins  (0, 6.75), right aligned from right margin. It is 90 points in width, 11 points in height.  FORMATTING  [TB 2.1] all text, right aligned   C. Recipient Address   POSITION   This subsection contains information of a variable size.   The content area begins (0, 1.35) with 32 point indent from left margin.  It is 1- column or 259 points in width with variable height, from 3 to 6 lines of text, not to exceed 82 points at 6 lines.  The name and address information is listed with 9- point clearance around the address when inserted into window envelope, to meet U.S. Postal Service regulations.  For specifications on window size and position, see section 10.3.10.  The position may vary for envelope to align with the recipient address of the i nserted MSN. Depending on the alignment, the address field of the printed MSN may be adjusted for ideal positioning.     [ The below figure is new.]     FORMATTING  [TB 1.1] all text, all caps   NOTE:  MACs may also use a smaller font size [TB 1.3] or [TB 1.4] if needed.  DYNAMIC RULES   All of the content in this subsection is dynamically generated.   At minimum, the beneficiary name and one - or two -line mailing address should be printed.  The name should be printed with the given name first, followed by any middle initial(s), the family name, then any suffixes (e.g., Jr.)
(Medicare Claims Processing Manual)
If applicable, when the beneficiarys primary residence is a healthcare facility, a facility name may be appended above the beneficiarys name.  As necessary, a second name (the beneficiary s legal representative) may be added above the beneficiarys name, followed by for.  The name should be printed in bold with the given name first, followed by any middle initial(s), the family name, then any suffixes (e.g., Jr.)   In the case that a legal representative is indicated, the designated recipients mailing address (if different from the beneficiarys address) should be used instead of the beneficiarys address.   The hierarchy of address should be as follows:   Legal representative  Beneficiarys temporary address   Beneficiarys permanent address   CONTENT   {BENEFICIARYS GIVEN NAME}{BENEFICIARYS MIDDLE INITIAL}{BENEFICIARYS FAMILY NAME}{BENEFICIARYS SUFFIX}  {PERMANENT STREET ADDRESS}  {SECOND LINE OF STREET ADDRESS}  {CITY}, {STATE ABREVIATION} {ZIP+4}   Or  {BENEFICIARYS GIVEN NAME}{BENEFICIARYS MIDDLE INITIAL}{BENEFICIARYS FAMILY NAME}{BENEFICIARYS SUFFIX}  {TEMPORARY ADDRESS FACILITY NAME OR STREET ADDRESS}  {SECOND LINE OF STREET ADDRESS}  {CITY}, {STATE ABREVIATION} {ZIP+4}   Or  {LEGAL REPRESENTATIVES GIVEN NAME}{LEGAL REPRESENTATIVES MIDDLE INITIALS}{LEGAL REPRESENTATIVES FAMILY NAME}{LEGAL REPRESENTATIVES SUFFIX} FOR  {BENEFICIARYS GIVEN NAME}{BENEFICIARYS MIDDLE INITIAL}{BENEFICIARYS FAMILY NAME}{BENEFICIARYS SUFFIX}  {LEGAL REPRESENTATIVES STREET ADDRESS}  {SECOND LINE OF STREET ADDRESS}  {CITY}, {STATE ABREVIATION} {ZIP+4}   NOTE : Comma between City and State is optional, to follow current practice.   D. Notice Details   This subsection provides a summary of whom the notice is for and what time period it covers.   POSITION
(Medicare Claims Processing Manual)
NOTE : Comma between City and State is optional, to follow current practice.   D. Notice Details   This subsection provides a summary of whom the notice is for and what time period it covers.   POSITION   This subsection has a fixed size and position.  The subsection is printed on a gray highlight box.  The gray area begins (0, 2.75). It is one-column or 259 points in width and 108 points in height.   Indent in 8 points all around to begin content area.  The three lines of body content are organized into static and dynamic text.  Static text is in regular text, without changing content.  Indent 133 points in from left margin to start dynamic text (e.g.,  beneficiarys Medicare number) in bold.       FORMATTING   [GR 1] gray background  [TH 3] notice details header  [GR 4.1] spacing after header  [GR 3.1] dotted rule  [TB 2.1] static body content [TB 2.2] dynamic body content  [GR 3.1] dotted rule  [TB 2.1] stati c body content [TB 2.2] dynamic body content  [GR 3.1] dotted rule  [TB 2.1] static body content [TB 2.2] dynamic body content   DYNAMIC RULES   This subsection is comprised of four lines; each line has both static and dynamic content.   Notice for   The first line has the static text Notice for followed by the beneficiarys given and family names.  Note that for space purposes the middle initial(s) and suffixes should not be included here.   Medicare Number   The second line has a static title and the beneficiarys Medicare number.   When possible, the number should be broken by dashes in the format (e.g., 1EG4- TE5-MK72).  Date of This Notice   The third line has a static title and the date that the notice was printed.  The date is listed with a spelled -out month, numeric day, and complete numeric year (e.g., October 15, 2021).  Claims Processed
(Medicare Claims Processing Manual)
Claims Processed   On a typical MSN, the fourth line has a static title, Claims Processed Between and dates that represent the start and end dates of the complete claim -processing period.  The first date printed should correspond to the first day of the period that was reviewed for claims prior to the generation of the notice.  The final date printed should reflect the final day that was reviewed for claims prior to the printing of the not ice.  This period typically spans an entire 90 -day period prior to the printing of the notice.  (Note that this is not  the same as the processing dates of the first - and last -processed claims on the notice, which may cover a much shorter period.)   The dates are listed with a spelled -out month, numeric day, and complete numeric year (e.g., October 15, 2021) and are separated by an en- dash (not a hyphen); insert spaces to each side of the en -dash.  If both the first and last date are within the same calendar year, drop the year from the first date (e.g., October 15 -  November 3, 2021) .  If the dates are in different calendar years, keep the year in both dates (e.g., October 15, 2021 -  January 3, 2022).  NOTE:  When printing a Pay MSN or other MSN with a single  processing date, replace static text Claims Processed Between with the label Claims Processed; on an MSN of this kind, only the single processing date should be listed, following the formatting conventions described above.  CONTENT   Notice for {Benefi ciary Given Name}{Beneficiary Family Name}  Medicare Number     {XXXX- XXX- MK72}  Date of This Notice    {Month DD, YYYY}  Claims Processed     {Month DD, YYYY} - Between       {Month DD, YYYY}   Or, if the notice is a Pay MSN or an MSN with a single processing date, use the following:   Notice for {Beneficiary Given Name}{Beneficiary Family Name}  Medicare Number     {XXXX- XXX- MK72}  Date of This Notice    {Month DD, YYYY}  Claims Processed     {Month DD, YYYY}
(Medicare Claims Processing Manual)
10.3.4 - Specifications for Header for Other Pages  (Rev.  2522, Issued: 08- 21-12, Effective: 07- 01-12 (Analysis and Design) 10- 01-12 (Final Design Testing) 01 -03-13(Final Implementation), Implementation: 07 -01-12 (Analysis and Design) 10- 01-12 (Final Design Testing) 01- 03-13(Final Implementation)   This element r epeats at the top of every page of the MSN, except for the first page. It contains the beneficiarys name, a notification, and page numbering.   POSITION   This subsection is of a fixed size. It does not vary in overall width or length.  It begins (0, 0) and is full -page or 540 points in width.  The first content unit, the beneficiarys name, is flush left. The second content unit, containing the notification text and page numbering, is flush right.     FORMATTING   [TB 2.2] beneficiary name  [TB 2.2] This Is Not a Bill, all caps, right aligned  [TB 2.1] |, then page number, right aligned   DYNAMIC RULES   This section contains two dynamic elements, the beneficiarys name and the page numbering.   The beneficiarys name should be printed with the given name first, followed by any middle initial(s), the family name, then any suffixes (e.g., Jr.)   The page number indicator, in the format {Page # of #}, must include the number of the page on which the element appears and, in the second numeric position, the  total page count for the notice.   CONTENT   {Beneficiarys Given Name}{Beneficiarys Middle Initials}{Beneficiarys Family Name}{Beneficiarys Suffix}  THIS IS NOT A BILL | {Page # of #}   10.3.5 - Specifications for Section 2: Making the Most of Your Medicare (Page 2)  (Rev. 11509, Issued: 07- 28-22, Effective: 01 -01-23 Implementation: 01- 03-23)  A. Section Title   POSITION   This subsection contains information of a fixed size.  It does not vary in overall width or length.