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PRINTED: 03/22/2021DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(Xi)FORM APPROVED OMB NO. 09380391PROVIDERISUPPLIER/CIA IDENTIFICATION

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What is xi?

Xi is a form used for reporting certain financial information to the government.

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Any individual or entity that meets the criteria set by the government for filing xi is required to do so.

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The purpose of xi is to provide the government with detailed financial information for regulatory and reporting purposes.

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Xi typically requires information such as income, expenses, assets, liabilities, and other financial details.

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