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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:15201202/13/2017FORM
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01
Read and understand the deficiencies cited in the report.
02
Identify which deficiencies are unrelated to the main subject.
03
Make a list of these unrelated deficiencies.
04
Prioritize the deficiencies based on their importance or impact.
05
Gather necessary information or evidence to address each deficiency.
06
Develop a plan or approach to fix the unrelated deficiencies.
07
Implement the plan by taking necessary actions to address each deficiency.
08
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09
Review and re-evaluate the fixes to ensure they adequately address the deficiencies.
10
Communicate the resolution of unrelated deficiencies to the relevant parties.

Who needs unrelated deficiencies cited?

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Organizations or individuals who want to improve their overall performance or compliance.
03
Quality assurance or compliance departments responsible for addressing such deficiencies.
04
Regulatory agencies or auditors who enforce compliance standards.
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Unrelated deficiencies cited refer to issues or non-compliance matters identified by regulatory bodies that are not related to the primary operations or functions of an entity.
Entities that have been identified with unrelated deficiencies must file reports to the relevant regulatory authorities.
To fill out unrelated deficiencies cited, one must provide detailed descriptions of the deficiencies, including the nature of the issues, corrective actions taken, and any supporting documentation.
The purpose of unrelated deficiencies cited is to ensure that entities address and rectify identified issues that may not directly relate to their main operations but still affect compliance and overall accountability.
The information that must be reported includes the nature of the deficiency, the date identified, actions taken to correct it, and any potential impact on operations.
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