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ASC Utilization Report State Form 49933 (R3/605) Indiana State Department of Health Acute Care Status: Finalized I. Center Identification Organization INDIANA SURGERY CENTER EAST Name: Street Address:
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State Operations Manual (SOM) is a guidance document used by surveyors from the Centers for Medicare & Medicaid Services (CMS) to assess compliance with federal regulations in healthcare facilities.
Healthcare facilities that participate in Medicare or Medicaid programs are required to follow the guidelines outlined in the State Operations Manual.
The State Operations Manual can be filled out by healthcare facility administrators or designated staff members according to the instructions and guidelines provided in the document.
The purpose of the State Operations Manual is to ensure that healthcare facilities are providing quality care to patients and are in compliance with federal regulations.
Information such as policies, procedures, staffing levels, training programs, quality improvement initiatives, and other relevant data must be reported on the State Operations Manual.
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