Form preview

Get the free this plan of correction does not

Get Form
PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES×X1) PROVIDER×SUPPLIER×LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15554309×01/2021FORM
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign this plan of correction

Edit
Edit your this plan of correction form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your this plan of correction form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit this plan of correction online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to take advantage of the professional PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit this plan of correction. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
It's easier to work with documents with pdfFiller than you can have believed. You may try it out for yourself by signing up for an account.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out this plan of correction

Illustration

How to fill out this plan of correction

01
Review the plan of correction template provided by the regulatory agency.
02
Understand the specific deficiencies that need to be addressed in the plan of correction.
03
Start by stating the deficiency that needs to be corrected.
04
Provide a detailed description of the corrective actions that will be taken.
05
Include the timeline for each corrective action.
06
Clearly explain how the corrective actions will prevent future occurrences of the deficiency.
07
Include any supporting documentation or evidence that demonstrates the effectiveness of the corrective actions.
08
Review and revise the plan of correction to ensure it is clear, concise, and addresses all required elements.
09
Submit the plan of correction to the regulatory agency within the specified timeframe.
10
Follow up with the regulatory agency to ensure the plan of correction is accepted and implemented appropriately.

Who needs this plan of correction?

01
Any individual or organization that has received a notice of deficiency from a regulatory agency and is required to correct the identified deficiencies.
02
This plan of correction is typically needed by healthcare facilities, educational institutions, government agencies, and any other entity that is subject to regulatory oversight and must comply with specific rules and regulations.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.6
Satisfied
44 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

In your inbox, you may use pdfFiller's add-on for Gmail to generate, modify, fill out, and eSign your this plan of correction and any other papers you receive, all without leaving the program. Install pdfFiller for Gmail from the Google Workspace Marketplace by visiting this link. Take away the need for time-consuming procedures and handle your papers and eSignatures with ease.
When you're ready to share your this plan of correction, you can swiftly email it to others and receive the eSigned document back. You may send your PDF through email, fax, text message, or USPS mail, or you can notarize it online. All of this may be done without ever leaving your account.
You may do so effortlessly with pdfFiller's iOS and Android apps, which are available in the Apple Store and Google Play Store, respectively. You may also obtain the program from our website: https://edit-pdf-ios-android.pdffiller.com/. Open the application, sign in, and begin editing this plan of correction right away.
This plan of correction is a document outlining the steps to be taken to address and correct any deficiencies or violations found during an inspection or audit.
The entity who received the citation or notice of violation is required to file this plan of correction.
The plan of correction should be filled out completely, detailing the violation(s) found, the steps to be taken to correct them, and the timeline for completion.
The purpose of this plan of correction is to ensure that the entity takes the necessary steps to address and correct any deficiencies or violations in a timely manner.
The plan of correction must include details of the violation(s) found, the corrective actions to be taken, responsible parties, and expected completion dates.
Fill out your this plan of correction online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.