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PRINTED: 07/05/2017 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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21b3ii services by qualified refer to services provided by qualified professionals in accordance with section 21b3ii of the regulations.
Individuals or entities who have received services from qualified professionals and are required to report these services in compliance with regulations.
To fill out 21b3ii services by qualified, individuals or entities must provide details of the services received, the name of the qualified professional, and any relevant supporting documentation.
The purpose of 21b3ii services by qualified is to ensure transparency and accountability in the provision of services by qualified professionals.
Information that must be reported on 21b3ii services by qualified includes details of services received, the name of the qualified professional, and any supporting documentation.
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