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PRINTED: 04/10/2019 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Step 1: Review the recertification survey form to understand the required information and documentation that needs to be provided.
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Step 2: Gather all the necessary documentation such as financial records, patient records, policies and procedures, and other relevant paperwork.
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Step 6: Submit the filled-out recertification survey form along with the required supporting documents to the appropriate authority or organization.
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Step 8: Maintain a copy of the filled-out recertification survey form and all the supporting documents for your records.

Who needs an unannounced recertification survey?

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Healthcare facilities and organizations that are required to maintain certifications or accreditations may need to undergo an unannounced recertification survey. This can include hospitals, clinics, nursing homes, home health agencies, and other similar institutions.
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An unannounced recertification survey is a survey conducted by regulatory bodies without prior notice to assess compliance with certain standards or regulations.
Healthcare facilities or organizations that are subject to regulatory oversight and are required to maintain certification or accreditation may be required to file an unannounced recertification survey.
To fill out an unannounced recertification survey, the organization must provide accurate and complete information regarding their compliance with relevant standards or regulations. This may involve documenting policies, procedures, and evidence of implementation.
The purpose of an unannounced recertification survey is to ensure that healthcare facilities or organizations are meeting the required standards for quality of care, safety, and regulatory compliance. It helps to identify any deficiencies or areas needing improvement.
The information reported on an unannounced recertification survey may include documentation of policies and procedures, evidence of implementation, patient outcomes, quality improvement initiatives, and compliance with regulations or standards.
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