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CMS Manual SystemDepartment of Health & Human Services (HHS)Pub 10008 Medicare Program IntegrityCenters for Medicare & Medicaid Services (CMS)Transmittal 926Date: November 22, 2019Change Request 10939
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How to fill out change request 10939

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To fill out change request 10939, follow these steps:
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Begin by opening the change request form.
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Fill in the basic information section, including the project name, change request number, and date.
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Provide a brief description of the change request, explaining the reason for the change and the desired outcome.
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Specify any related documents or supporting materials that should be attached to the change request form.
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Identify the individuals or departments involved in the change request and their respective roles.
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Detail the proposed changes, providing a clear description of what needs to be altered or implemented.
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Indicate the anticipated impact of the change, including any potential risks or benefits.
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Submit the completed change request form to the designated approver or change control board for review and approval.
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Follow up on the status of the change request regularly until a decision has been made.
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Implement the approved changes and document any necessary updates or revisions.
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Inform all relevant stakeholders about the approved changes and any associated actions or requirements.
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Monitor the effects of the change and make any further adjustments or improvements as needed.
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Keep a record of the change request, including all related documentation and correspondence, for future reference.

Who needs change request 10939?

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Change request 10939 is typically needed by project managers, change management teams, or individuals responsible for overseeing and implementing changes in a project or organization. It is used to formally request modifications, updates, or additions to a project's scope, requirements, or deliverables. Other stakeholders, such as clients or end-users, may also be involved in the change request process, depending on the nature of the project and the potential impact of the proposed changes.
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Change request 10939 is a formal request to modify or change a specific aspect of a project, process, or system.
The project manager or person in charge of the specific aspect of the project, process, or system is required to file change request 10939.
Change request 10939 should be filled out with details of the requested change, rationale for the change, potential impact, resources needed, and approval signatures.
The purpose of change request 10939 is to document and track changes to ensure that they are properly evaluated, approved, and implemented.
Information such as the requested change, rationale, impact analysis, resources needed, and approval signatures must be reported on change request 10939.
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