evekhm/cms_iom_500 huggingface dataset:
(Medicare Claims Processing Manual)
A. Section Title   POSITION   This subsection contains information of a fixed size.  It does not vary in overall width or length.   The content area begins (0, 5), 7 points from the baseline of the Headers for Other Pages subsection.  It is full -page or 540 points in width and 24 points in height.     FORMATTING   [GR 2.1] black rule  [TH 2] section name   DYNAMIC RULES  N/A -  this section is static.   CONTENT  Making the Most of Your Medicare   B. How to Check This Notice   Global Specifications  POSITION   This subsection contains information of varying size per MSN type.  It does not vary in overall width or length per type.   The content area begins (0, 0.94), 28 points from the baseline of the Section Title subsection.  It is one -column or 259 points in width and varies in height depending on the MSN type.  Content is static per type.   Indent 8 points from the top, left, and right, and 12 points at bottom to begin content area.     FORMATTING   [GL 9] glyph [TH 3] subsection header, center vertically to glyph  [GR 4.2] space after glyph  [TB 1.2] first sentence of each paragraph [TB 1.1] remaining text in each paragra ph [GR 6] space between paragraph  [TB 1.2] first sentence of each paragraph [TB 1.1] remaining text in each paragraph  [GR 6] space between paragraph  [TB 1.2] first sentence of each paragraph [TB 1.1] remaining text in each paragraph   DYNAMIC RULES   The body -text content varies depending on which member of the extended family the MSN belongs to -  see the content specifications below.  PART A INPATIENT AND  B OF A,  SPECIFICATIONS   CONTENT   How to Check This Notice  Do you recognize the name of each facility?  Check the dates.  Did you get the claims listed?  Do they match those listed on your receipts and bills?  If you already paid the bill, did you pay the right amount? Check the maximum you may be billed.  See if the claim was sent to your Medicare supplement insurance (Medigap) plan or other insurer.  That plan may pay your share.   HOSPICE AND HOME HEA LTH SPECIFICATIONS   CONTENT
(Medicare Claims Processing Manual)
HOSPICE AND HOME HEA LTH SPECIFICATIONS   CONTENT   How to Check This Notice  Do you recognize the name of each doctor or provider?  Check the dates.  Did you have a visit or service that day?  Did you get the services listed?  Do they match those listed on your receipts and bills?  If you already paid the bill, did you pay the right amount?  Check the maximum you may be billed.  See if the cla im was sent to your Medicare supplement insurance (Medigap) plan or other insurer.  That plan may pay your share.   PART B (ASSIGNED AND  UNASSIGNED) SPECIFI CATIONS   CONTENT   How to Check This Notice  Do you recognize the name of each doctor or provider?  Che ck the dates.  Did you have an appointment that day?  Did you get the services listed?  Do they match those listed on your receipts and bills?  If you already paid the bill, did you pay the right amount?  Check the maximum you may be billed.  See if the claim was sent to your Medicare supplement insurance (Medigap) plan or other insurer.  That plan may pay your share.   DME (ASSIGNED AND UN ASSIGNED) SPECIFICAT IONS   CONTENT   How to Check this Notice  Do you re cognize the name of each supplier?  Check the dates.  Did you make a purchase that day?  Did you get the items/services listed?  Do they match those listed on your receipts and bills?  If you already paid the bill, did you pay the right amount?  Check the maximum you may be billed.  See if the claim was sent to your Medicare supplement insurance (Medigap) plan or other insurer.  That plan may pay your share.   C. How to Report Fraud   Global Specifications   POSITION   This subsection is fixed in width and varies  in length depending on content, however the position is dynamic.   The content area begins 19 points from the baseline of the How to Check  This Notice subsection.  It is one -column or 259 points in width.    FORMATTING   [GR 2.1] black rule  [GL 10] glyph [TH 3] subsection header, center vertically to glyph  [GR 4.2] space after glyph  [TB 1.1] body text  [GR 6] space between paragraph  [TB 1.1] body text  [GR 6] space between paragraph  [TB 1.2] first sentence highlight [TB 1.1] body text   DYNAMIC RULES
(Medicare Claims Processing Manual)
DYNAMIC RULES   Body -text content in the first paragraph varies depending on which member of the extended family the MSN belongs to -  see the content specifications below.  The third and final paragraph of this section contains a fraud- specific message from CMS.  The messa ge must be a maximum 185 characters long (inclusive of spaces).  The current fraud -specific message can be found on the CMS website: http://www.cms.gov/Medicare/Medicare -General -Information/MSN/index.html?redirect=/MSN/02_MSNMessages.asp   PART A INPATIENT AND  B OF A,   SPECIFICATIONS   CONTENT   How to Report Fraud   If you think a facility or business is involved in fraud, call us at 1- 800-MEDICARE (1 -800-633- 4227).  Some examples of fraud include offers for free medical services or billing you for Medicare services you didnt get.  If we determine that your tip led to uncovering fraud, you may qualify for a reward.  {CMS fraud message of 18 5 characters (four lines of text) The first sentence may be bold, while the remaining text is roman, with occasional bits, such as  monetary figures or important words , highlighted in bold.}  PART B (ASSIGNED AND  UNASSIGNED), HOSPIC E, AND HOME HEALTH SPECIFICATIONS   CONTENT   How to Report Fraud  If you think a provider or business is involved in fraud, call us at 1- 800-MEDICARE (1 -800-633- 4227).   Some examples of fraud include offers for free medical services or billing you for Medicare services you didnt get.  If we determine that your tip led to uncovering fraud, you may qualify for a reward.   {CMS fraud message of 185 characters (four lines of text) The first sentence may be bold, while the remaining text is roman, with occasional bits, such as  monetary figures or important words , highlighted in bold.}  DME (ASSIGNED AND UN ASSIGNED) SPECIFICAT IONS   CONTENT   How to Report Fraud   If you think a supplier or business is involved in fraud, call us at 1- 800-MEDICARE (1 -800-633- 4227).   Some examples of fraud in clude offers for free medical services or billing you for Medicare services you didnt get.  If we determine that your tip led to uncovering fraud, you may qualify for a reward.
(Medicare Claims Processing Manual)
Some examples of fraud in clude offers for free medical services or billing you for Medicare services you didnt get.  If we determine that your tip led to uncovering fraud, you may qualify for a reward.   {CMS fraud message of 185 characters (four lines of text) The first sentence may be bold, while the remaining text is roman, with occasional bits, such as  monetary figures or important words , highlighted in bold.}  D. How to Get Help with Your Questions   GLOBAL SPECIFICATION S  POSITION   This subsection contains information of a fix ed size. It does not vary in overall width or length.   This subsection begins 19 points below the How to Report Fraud subsection. It is one -column or 259 points in width and 142 points in height.    FORMATTING   [GR 2.1] black rule  [GL 11] glyph [TH 3] subsection header, center vertically to glyph  [GR 4.2] space after glyph  [TB 1.2] phone number  [TB 1.1] body text  [GR 6] space between paragraph  [TB 1.2] TTY phone number [TB 1.1] body text  [GR 6] space between paragraph  [TB 1.1] body text [TB 1.2] SHIP phone number highlight   DYNAMIC RULES   This subsection contains three pieces of dynamic content: language in the first paragraph thats variable by extended -family member; a MAC ID number; and the SHIP phone number.  Body -text content in the first paragraph varies depending on which member of the extended family the MSN belongs to -  see the content specifications below.   The first paragraph also contains the printing MACs ID number, in order to assist in tracking and routing beneficiary calls to the Medicare call center.  This ID number is referred to on the notice as a customer -service code.   The final paragraph should contain the primary phone number for the State Health Insurance Office, corresponding to the state listed in the notice mailing address in Section 1.  The phone numbers for the SHIP offices can be found on the CMS website: http://www.medicare.gov/contacts/organization -search -criteria.aspx .
(Medicare Claims Processing Manual)
NOTE :  If the mailing address is that of the legal representative and the beneficiarys address indicates that the beneficiary lives outside of the 50 U.S. states and U.S. territories, then the final paragraph should be suppressed.   PART A INPATIENT, HO SPICE, HOME HEALTH, AN D B OF A,  SPECIFICATIONS   CONTENT   How to Get Help with Your Questions  1-800-MEDICARE (1 -800-633-4227)   Ask for hospital services Your customer -service code is {5 -DIGIT A/B MAC (A) ID CODE}.   TTY 1 -877-486-2048 (for hearing impaired)   Contact your State Health Insurance Program (SHIP) for free, local health insurance counseling. Call {10- DIGIT PHONE NUMBER FOR SHIP IN RECIPIENTS STATE OF RESIDENCE }.  Or, if the MSN mailing address is outside the 50 states:  How to Get Help with Your Qu estions  1-800-MEDICARE (1 -800-633-4227)   Ask for hospital services. Your customer -service code is {5 -DIGIT A/B MAC (A) ID CODE}.   TTY 1 -877-486-2048 (for hearing impaired)   PART B (ASSIGNED AND  UNASSIGNED) SPECIFI CATIONS   CONTENT   How to Get Help with Y our Questions  1-800-MEDICARE (1 -800-633-4227)   Ask for doctors services. Your customer -service code is {5 -DIGIT A/B MAC (B) ID CODE}.   TTY 1 -877-486-2048 (for hearing impaired)   Contact your State Health Insurance Program (SHIP) for free, local health insurance counseling. Call {10- DIGIT PHONE NUMBER FOR SHIP IN RECIPIENTS STATE OF RESIDENCE }.  Or, if the MSN mailing address is outside the 50 states:  How to Get Help with Your Qu estions  1-800-MEDICARE (1 -800-633-4227)   Ask for doctors services. Your customer -service code is {5 -DIGIT A/B MAC (B) ID CODE}.   TTY 1 -877-486-2048 (for hearing impaired)   DME (ASSIGNED AND UN ASSIGNED) SPECIFICAT IONS   CONTENT
(Medicare Claims Processing Manual)
TTY 1 -877-486-2048 (for hearing impaired)   DME (ASSIGNED AND UN ASSIGNED) SPECIFICAT IONS   CONTENT   How to Get Help with Your Questions  1-800-MEDICARE (1 -800-633-4227)   Ask for medical supplies. Your customer -service code is {5 -DIGIT DME MAC ID CODE}.   TTY 1 -877-486-2048 (for hearing impaired)   Contact your State Health Insurance Program (SHIP) for free, local health insurance counseling. Call {10- DIGIT PHONE NUMBER FOR SHIP IN RECIPIENTS STATE OF RESIDENCE }.  Or, if the beneficiarys pricing state is outside the 50 U.S. states and U.S. territories:   How to Get Help with Your Questions  1-800-MEDICARE (1 -800-633-4227)   Ask for medical supplies. Your customer -service code is {5 -DIGIT DME MAC ID CODE}.  TTY 1 -877-486-2048 (for hearing impaired)   E. Your Benefit Periods   This subsection is only for Part A Inpatient MSNs.  It can also be included in combined Part A Inpatient and  B of A MSNs.  It should be suppressed for Hospice, Home Health, Part B (assigned and unassigned), and DME (assigned and unassigned).   The Your Benefit Periods subsection may contain up to three dynamically generated content units, providing beneficiary -specific information related to inpatient hospital benefit days, inpatient lifetime reserve days, inpatient mental health care in a psychiatric hospital limit, and skilled nursing facility (SNF) benefit days.   Language variations exist to describe whether a beneficiary has used all their benefit days for a given type of claim period, or if benefit days remain.   See Exhibit 2.3 for examples of different scenarios regarding benefit periods.  POSITION   This subsection begins (3.9, 0.94).  This should top align with the How to Check This Notice subsection on the left column. It is one -column or 259 points in width with a variable height, dependent on dynamic content.     FORMATTING
(Medicare Claims Processing Manual)
FORMATTING   [GR 2.1] black rule  [GL 12] glyph [TH 3] subsection header, center vertically to glyph  [GR 4.2] space after glyph  [TB 1.1] body text of intro paragraph [TB 1.2] text in bold [GR 3.1] dotted rule  [TB 2.2] headers for benefit period types [TB 1.1] beneficiary -specific dynamic data within benefit -period info [GR 3.1] dotted rule  [TB 2.2]  headers for benefit period types [TB 1.1] beneficiary -specific dynamic data within benefit -period info [GR 3.1] dotted rule  [TB 1.2] final paragraph   INPATIENT HOSPITAL DAYS   Content in the beneficiary -specific portion of this subsection is subject to the  following variations:    If a claim on the notice is for an inpatient hospital stay, and    The benefit period associated with the claim was still active on the notice date of the MSN -  because fewer than 60 days had passed between the last claimed date of stay in the benefit period and the notice date -  then this subsection should list how many covered benefit days remain in the benefit period; or    The benefit period associated with the claim is closed -  because more than 60 days had passed since the last claimed date of stay and the notice date -  then this subsection should indicate that the benefit period has ended.    There is no benefit period associated with the claim because it was rejected, therefore no benefit days were used.   The possible dynamic statements for inpatient hospital days are as follows:   You have {#} out of 90 covered benefit days  remaining for the benefit period that began {Month DD, YYYY}.  or  You have used all of your 90 covered benefit days for the benefit period that began {Month DD, YYYY}.   or  The benefit periods for all claims on this notice have ended.   or  You didnt have an active benefit period.   LIFETIME RESERVE DAYS   Content in the beneficiary -specific portion of this subsection is subject to the following variations:    If a cl aim on the notice is for an inpatient hospital stay and all inpatient hospital benefit days for the benefit period have been exhausted, and all or a portion of the claimed days have been paid using inpatient lifetime reserve days, and
(Medicare Claims Processing Manual)
 If a cl aim on the notice is for an inpatient hospital stay and all inpatient hospital benefit days for the benefit period have been exhausted, and all or a portion of the claimed days have been paid using inpatient lifetime reserve days, and    The beneficiary stil l has some number of inpatient lifetime reserve days available, then this subsection should list the remaining inpatient lifetime reserve days the beneficiary had on the date of the notice; or    The beneficiary had exhausted all of their inpatient lifetime reserve days, then this subsection should indicate that all inpatient lifetime reserve days have been used.   The beneficiary did not use any inpatient lifetime reserve days because the claim was rejected.   The possible dynamic statements for inpatient lifetime reserve benefit days are as follows:   You have {#} out of 60 lifetime reserve days  remaining.   or  You have used all of your 60 lifetime reserve days.  or  You didnt have an active benefit period.   INPATIENT MENTAL HEALTH DAYS   Content in the beneficiary -specific portion of this subsection is subject to the following variations:    If a claim on the notice is for an inpatient mental health care in a psychiatric hospital stay, and    The beneficiary still has some number of lifetime mental health care days available, then this subsection should list the remaining lifetime mental health care days the beneficiary had on the date of the notice; or    The beneficiary had exhausted all of their lifetime mental health care days, then this subsection should indi cate that all lifetime mental health care days have been used.   The beneficiary did not use any mental health care days because the claim was rejected.   The possible dynamic statements for inpatient lifetime reserve benefit days are as follows:   You have {#} out of 190 mental health care days  remaining.   or  You have used all of your 190 mental health care reserve days.   or  You didnt have an active benefit period.   SKILLED NURSING FACILITY DAYS   Content in the beneficiary -specific portion of this subsect ion is subject to the following variations:    If a claim on the notice is for a skilled nursing facility (SNF) stay, and
(Medicare Claims Processing Manual)
SKILLED NURSING FACILITY DAYS   Content in the beneficiary -specific portion of this subsect ion is subject to the following variations:    If a claim on the notice is for a skilled nursing facility (SNF) stay, and    The benefit period associated with the claim was still active on the notice date of the MSN -  because fewer than 60 days had passed bet ween the last claimed date of stay in the benefit period and the notice date -  then this subsection should list how many covered benefit days remain in the benefit period; or    The benefit period associated with the claim is closed -  because more than 60 days had passed since the last claimed date of stay and the notice date -  then this subsection should indicate that the SNF benefit period has ended.    There is no benefit period associated with the claim because it was rejected, therefore no benefit days w ere used.   The possible dynamic statements for skilled nursing facility hospital days are as follows:   You have {#} out of 100 covered benefit days  remaining for the benefit period that began {Month DD, YYYY}.  or  You have used all of your 100 covered ben efit days for the benefit period that began {Month DD, YYYY}.   or  The benefit periods for all claims on this notice have ended.   or  You didnt have an active benefit period.   DYNAMIC RULES   In an open inpatient hospital or skilled nursing facility benefi t period, the number of remaining covered/reserve days should reflect the number of days that remained on the notice date. If the beneficiary had no remaining benefit days on that date, but the period was still open, then the second inpatient/SNF statement  above should be used, indicating that all benefit days have been used for the period beginning on the stated date.   Only one active benefit period related to the claims listed on the statement should be printed. If there are any additional claims that pertain to another benefit period, suppress the status.   If claims on the notice use any combination of inpatient hospital days, inpatient lifetime reserve days, inpatient mental health care days or skilled nursing facility (SNF) days, then all of the appl icable statements, as described above, should be included in this subsection.  If claims did not use lifetime reserve days or inpatient mental health care days, suppress this section and list skilled nursing facility benefit period immediately after inpatient hospital.  CONTENT
(Medicare Claims Processing Manual)
Static content, and sample dynamic content, is as follows:  Your Benefit Periods   Your hospital and skilled nursing facility (SNF) stays are measured in benefit days  and benefit periods .  Every day that you spend in a hospital or SN F counts toward the benefit days in that benefit period.  A benefit period begins the day you first receive inpatient hospital services or, in certain circumstances, SNF services, and ends when you havent received any inpatient care in a hospital or inpat ient skilled care in a SNF for 60 days in a row.   Inpatient Hospital:  You have {#} out of 90 covered benefit days  remaining for the benefit period that began {Month DD, YYYY}.   Inpatient Lifetime Reserve: You have {#} out of 60 lifetime reserve days remain ing.  Inpatient Mental Health: You have {#} out of 190 mental health care days remaining.   Skilled Nursing Facility: You have {#} out of 100 covered benefit days  remaining for the benefit period that began {Month DD, YYYY}.  See your Medicare & You handbook for more information on benefit periods.  F. Medicare Preventive Services   This subsection is only for Part B assigned and unassigned MSNs.  It should be suppressed on all other types including Part A Inpatient, Hospice, Home Health, B of A, and DME.  For Part A Inpatient claims, this subsection should be replaced by the Your Benefit Periods subsection, described above.   POSITION   This subsection contains information of a fixed size. It does not vary in overall width or length.   It begins (3.9, 0.94).  This should top align with the How to Check This Notice subsection on the left column.  It is one -column or 259 points in width and 139 points in height.     FORMATTING   [GR 2.1] black rule  [GL 14] glyph [TH 3] subsection header, center vertically  to glyph  [GR 4.2] space after glyph  [TB 1.1] body text of intro paragraph  [GR 6] space between paragraph  [TB 1.1] body text of bulleted paragraph   DYNAMIC RULES   This section should be printed only on Part B assigned and unassigned notices.  The content  of the section is completely static.  CONTENT
(Medicare Claims Processing Manual)
DYNAMIC RULES   This section should be printed only on Part B assigned and unassigned notices.  The content  of the section is completely static.  CONTENT   Medicare Preventive Services  Medicare covers many free or low -cost exams and screenings to help you stay healthy.  For more information about preventive services:   Talk to your doctor.   Look at your Medicare & You handbook for a complete list.   Create an account on Medicare.gov.   G. Your Messages from Medicare   POSITION   The position of this subsection varies depending on the extended family member:  On Part A Inpatient and combined MSNs, it follows the Your Benefit Periods subsection, positioned 19 points from the baseline.  On Part B assigned and unassigned MSNs, it follows the Medicare Preventive Services subsection, with 19 points of space from the baseline.  On Hospice, Home Health (A) and (B), B of A, and DME MSNs, it has a fixed start location at (3.9, 0.94), and is top aligned with the How to Check This Notice subsection.  In all cases, it is one -column or 259 points in width with variable height from the dynamic content, depending on the length of the  CMS messages.    FORMATTING   [GR 2.1] black rule  [GL 9] glyph [TH 3] subsection header, center vertically to glyph  [GR 4.2] space after glyph  [TB 1.2] first sentence [TB 1.1] body text  [GR 6] space between paragraph  [TB 1.2] first sentence [TB 1.1] body text  [GR 6] space between paragraph  [TB 1.2] first sentence [TB 1.1] body text  [GR 6] space between paragraph  [TB 1.2] first sentence [TB 1.1] body text   DYNAMIC RULES   This subsection can accommodate up to four messages from CMS.  First and second messages must be no longer than 200 characters (inclusive of spaces) and third and fourth messages must be no longer than 250 characters (inclusive of spaces).