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PRINTED: 02/26/2016 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Centers for Medicare & Medicaid Services (CMS) is responsible for administering the Medicare program in the United States.
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The purpose of CMS forms is to report information on services provided to Medicare beneficiaries for reimbursement.
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Information such as patient demographics, services provided, diagnosis codes, and billing codes must be reported on CMS forms.
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