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PRINTED: 02/22/2012 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 a federal agency within the United States Department of Health and Human Services that administers the nation's major healthcare programs.
Healthcare providers and suppliers who participate in the Medicare program are required to submit the Centers for Medicare & Medicaid Form.
The Centers for Medicare & Medicaid Form can be filled out electronically through the CMS website or by using specific software provided by CMS.
The purpose of the Centers for Medicare & Medicaid Form is to report data on healthcare services provided to Medicare beneficiaries.
Information such as patient demographics, services provided, and payment received must be reported on the Centers for Medicare & Medicaid Form.
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