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Get the free MEDICARE RECERTIFICATION SURVEY - dshs.wa.gov

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PRINTED: 06/06/2018 FORM APPROVEDDEPARTMENT 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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How to fill out medicare recertification survey

01
To fill out the Medicare recertification survey, follow these steps:
02
Start by carefully reading through the survey instructions and questions.
03
Answer each question honestly and to the best of your knowledge.
04
Provide any required personal information, such as your name, address, Medicare number, and contact details.
05
If any questions or sections are not applicable to you, mark them as such or leave them blank.
06
Review your answers to ensure accuracy before submitting the survey.
07
Once you are satisfied with your responses, submit the completed survey either online or via mail, as instructed.
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Keep a copy of the survey for your records in case of any future inquiries or audits.
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Note: If you have any doubts or questions while filling out the survey, contact the Medicare recertification team for assistance.

Who needs medicare recertification survey?

01
The Medicare recertification survey is required for individuals who are already enrolled in Medicare and need to renew their coverage.
02
It is typically needed by Medicare beneficiaries who need to provide updated information, confirm their eligibility, and ensure the continuation of their Medicare benefits.
03
Certain Medicare plans or programs may have specific recertification requirements that must be met in order to maintain coverage.
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Overall, anyone who is currently receiving Medicare benefits should expect to go through the recertification process periodically.
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Medicare recertification survey is a process where healthcare providers must report information to Medicare to maintain compliance with program requirements.
Healthcare providers who participate in the Medicare program are required to file medicare recertification survey.
Medicare recertification survey can be filled out online through the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) or by submitting a paper application.
The purpose of medicare recertification survey is to ensure that healthcare providers continue to meet Medicare program requirements and standards.
Providers must report information such as changes in ownership, location, services offered, and any other relevant updates.
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