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09/20/2018PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Facility's credible allegation of fraud or abuse.
Any healthcare facility that suspects fraud or abuse.
Facility can fill out the credible allegation of form online or by mailing it to the appropriate authorities.
The purpose is to report suspicions of fraud or abuse in healthcare facilities.
Details of the suspected fraud or abuse, individuals involved, and any supporting documentation.
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