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11/26/2018PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION

How to fill out this plan of correction

How to fill out this plan of correction

1. Start by carefully reviewing the plan of correction form and familiarizing yourself with the requirements.
2. Begin filling out the plan by providing your name and contact information.
3. Clearly identify the deficiencies or violations that need to be addressed in the plan.
4. Develop a detailed action plan for each deficiency, outlining the specific steps to be taken to correct the issue.
5. Include timelines and deadlines for each action item to ensure timely completion.
6. Specify the responsible person or department for each action item.
7. Provide any necessary supporting documentation or evidence to demonstrate compliance.
8. Review the completed plan thoroughly to ensure accuracy and clarity.
9. Seek input or advice from appropriate colleagues or experts if needed.
10. Submit the plan of correction within the specified timeline to the relevant authority or organization.
11. Follow up on the plan periodically to track progress and make any necessary adjustments.
12. Keep a copy of the plan for your records and be prepared to provide updates or evidence of compliance if requested.

Who needs this plan of correction?

1. This plan of correction is needed by organizations, companies, or institutions that have been found to have deficiencies or violations in certain areas.
2. It is typically required by regulatory bodies, accrediting agencies, or government authorities to ensure that corrective actions are taken to address the identified issues.
3. Examples of entities that may need a plan of correction include healthcare facilities, educational institutions, manufacturing companies, and government agencies.

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