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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES OMB NO. 09380391(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTION09/02/2011FORM APPROVEDIDENTIFICATION
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What is f0000 this visit was?
F0000 refers to the current visit number.
Who is required to file f0000 this visit was?
Any individual or company who is conducting visits must file f0000.
How to fill out f0000 this visit was?
F0000 should be filled out with the appropriate visit number assigned.
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The purpose of f0000 is to keep track of the number of visits conducted.
What information must be reported on f0000 this visit was?
F0000 requires reporting of the visit number only.
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