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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:15G65810/24/2014FORM

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What is this visit was for?

This visit is for conducting a compliance audit.

Who is required to file this visit was for?

The company's appointed compliance officer is required to file this visit.

How to fill out this visit was for?

The visit must be filled out by providing accurate and detailed information about the company's compliance measures.

What is the purpose of this visit was for?

The purpose of this visit is to ensure that the company is following all regulations and guidelines set forth by the governing body.

What information must be reported on this visit was for?

Information such as compliance policies, procedures, training records, and any recent audits must be reported on this visit.

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