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PRINTED: 01/12/2015 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:INDIANA UNIVERSITY HEALTH (X4)
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This visit was for a routine audit.
All employees in the department are required to submit the necessary documents for this visit.
To fill out this visit, employees must provide detailed information about their work activities and any relevant expenses.
The purpose of this visit is to ensure compliance with company policies and to verify the accuracy of reported expenses.
Employees must report their work hours, any expenses incurred during the audit period, and any relevant documentation.
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