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In order to facilitate the transition to ICD-10 coding, majority of hospitals in the US have started hiring a Clinical Documentation Improvement (CDI) consultant. According to a survey conducted by Black Book, 70% of hospitals will be hiring a CDI consultant to ease transition to the new coding system by 2015. http://goo.gl/BIF83n
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Water Damage Anchorage Alaska has been regular in private and business homes. These harms are lavish and are not simple to repair. They are regularly brought on blocked channels, releasing clothes washers and assign more.
INSTRUCTIONS: 1. Please type or print clearly. This form must be signed and dated. 2. Please use the second page of this form to describe in detail the events of the transaction or other occurrences that led you to file this complaint. If there is insufficient space, please attach additional pages to complete your explanation. 3. Please attach copies of any documents that you received in relation to the transaction. Name of complainant County of residence Address of complainant (number and street, city, state, and ZIP code) E-mail address Home telephone number Work telephone number Mobile telephone number Name of respondent Dealer Address (number and street, city, state, and ZIP code) Telephone number ( County of residence Date of transaction, sale, incident, or service (month, day, year) ) Type of business Type of service / product Year of vehicle Make of vehicle Model of vehicle Vehicle identification number (VIN) License plate number
Motor Vehicle Administration 6601 Ritchie Highway, N.E. Glen Burnie, Maryland 21062 IS-109 (12-13) Investigative Division Complaint Report Type of complaint: q Unlicensed Sales q Dealer Complaint q Foreign Registration q General Complaint Person Making Complaint Your Name:_________________________________________________________________________________________ Date:________________________ Address:________________________________________________________________________________________________________________________ City:_____________________________________________________________ State:_____________________________ Zip Code:___________________ Phone (Home):________________________________Phone (Business):________________________________ Other (cell):________________________ Signed: ________________________________________________________________________________________________________________________ I certify under penalty of perjury that the information contained herein is true and correct to the best of my knowledge, information, and belief. Subject of Complaint Subject’s Name:___________________________________________________ Phone #:______________________________________________________ Address:________________________________________________________________________________________________________________________ City:______________________________________________________________ State:_________ Zip Code:____________ Placard #__________________ Vehicles Involved: Year____________________ Make_____________ Color_________________ Tag #__________________________________________ Year__________________Make_______________________Model__________________ Color___________________ Tag #___________________________ Place of Employment for Subject (if known):________________________________________________________________________________________ Time of day/night when subject is mostly at home or work (if know):___________________________________________________________________ Additional Comments:____________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ Additional Information On Complaint _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ Use Back Of Form MVA USE ONLY Complaint received by: Agent/Employee:___________________________________________________________________________________________ Complaint Forwarded To:__________________________________________________Date Forwarded:_________________________________________ Action Taken (Remarks, Forwarded to, Conclusion Reached, Etc): _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ Signature:________________________________________________________ Title:______________________________ Date:________________________ For more information, please call: 410-768-7000 (to speak with a customer agent). TTY for the hearing impaired: 1-800-492-4575. Visit our website at: www.MVA.Maryland.gov Investigative Division Complaint Report ... Subject of Complaint ... Type of complaint: ❑ Unlicensed Sales ❑ Dealer Complaint ❑ Foreign Registration ❑ General ...