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Form Approved: OMB # 09380948Centers for Medicare & Medicaid Services (CMS)Office of HIPAA Standards (OHS) HIPAA Privacy Complaint Form IMPORTANT: This form cannot be used for HIPAA Privacy complaints.
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Centers for Medicare & Medicaid Services (CMS) is the federal agency that administers the Medicare program and works in partnership with state governments to administer Medicaid.
Healthcare providers, facilities, and organizations that participate in Medicare and Medicaid programs are required to file Centers for Medicare & Medicaid Services (CMS) forms.
Centers for Medicare & Medicaid Services (CMS) forms can be filled out electronically through the CMS website or submitted on paper by mail.
The purpose of Centers for Medicare & Medicaid Services (CMS) forms is to report information about healthcare services provided to Medicare and Medicaid beneficiaries.
Centers for Medicare & Medicaid Services (CMS) forms must include information such as patient demographics, services provided, dates of service, and billing information.
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