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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15G79509/24/2015FORM

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Start by accessing the post survey revisit form.

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Enter the required information such as the participant's name, contact details, and survey ID.

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Fill out the survey questions by providing accurate and honest responses.

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What is a post survey revisit?

A post survey revisit is a follow-up inspection conducted after an initial survey to ensure compliance with regulations.

Who is required to file a post survey revisit?

Any entity or individual that has undergone an initial survey and is required to demonstrate compliance may be required to file a post survey revisit.

How to fill out a post survey revisit?

To fill out a post survey revisit, provide information on any updates or changes in compliance status since the initial survey and any corrective actions taken.

What is the purpose of a post survey revisit?

The purpose of a post survey revisit is to verify compliance with regulations and ensure any corrective actions have been implemented.

What information must be reported on a post survey revisit?

Information on compliance status, any updates or changes since the initial survey, and details of any corrective actions taken must be reported on a post survey revisit.

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