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APPENDIX R: DISCREPANCY NOTIFICATION REPORT Centers for Medicare & Medicaid Services Home Health Care CAMPS Survey Protocols and Guidelines Manual Appendix R: Discrepancy Notification Report January

How to fill out discrepancy notification report

How to fill out a discrepancy notification report?

1. Start by obtaining a discrepancy notification report form, which may be available online or from your organization's human resources department.
2. Fill in the necessary details at the top of the form, such as your name, employee ID, department, and contact information.
3. Provide a clear and concise description of the discrepancy or issue that you are reporting. Include relevant dates, times, and any supporting evidence or documents.
4. Specify the parties involved in the discrepancy, including names, positions, and departments if applicable. Indicate whether any witnesses were present.
5. Explain the impact or potential consequences of the discrepancy, both for individuals and the organization as a whole, if left unresolved.
6. Offer any suggestions or recommendations for resolving the discrepancy, if appropriate. These may include proposed actions, changes in procedures, or the need for further investigation.
7. Sign and date the report, ensuring that all required fields are completed accurately.
8. Submit the completed discrepancy notification report to the designated recipient as instructed on the form or within your organization's policies.

Who needs a discrepancy notification report?

1. Employees: If you have discovered a discrepancy or issue related to your work, it is important to report it through a discrepancy notification report. This will help ensure that the matter is properly addressed and potentially resolved.
2. Supervisors and Managers: Discrepancy notification reports are also relevant for supervisors and managers who become aware of discrepancies or issues within their teams or departments. They should encourage employees to use these reports when necessary and take appropriate action to address the concerns.
3. Human Resources (HR) Department: HR departments often utilize discrepancy notification reports as part of their internal processes to investigate and resolve discrepancies and issues within the organization. These reports can provide useful documentation for HR personnel to track and address workplace concerns.

By following the steps outlined above and utilizing discrepancy notification reports, individuals and organizations can effectively address and resolve discrepancies, ensuring a more harmonious and efficient work environment.

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