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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CIA AND PLAN OF CORRECTION IDENTIFICATION NUMBER: 15G634
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What is this visit was for?
This visit was for business purposes.
Who is required to file this visit was for?
All employees who receive reimbursement for work-related travel expenses.
How to fill out this visit was for?
The visit should be filled out accurately and completely, including the purpose of the visit, date, time, and expenses incurred.
What is the purpose of this visit was for?
The purpose of this visit was to conduct a site visit for project evaluation.
What information must be reported on this visit was for?
The information to be reported includes the purpose of the visit, expenses incurred, date and time, and any relevant details.
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