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Get the free Form CMS-10243 CARE Tool - OMB 0938-1037

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1PATIENT INFORMATION First Name ___ Last Name ___ What name does the patient go by? ___ Gender ___ Birth Date, Month ___ Day ___ Year ___ SSN ___ Email Address ___ Phone # ___ Home MobileWork # ___Mailing
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Form CMS-10243 is a tool used to collect data related to patient care in Medicare-certified facilities, focusing on quality improvement and accountability.
Medicare-certified healthcare facilities, including nursing homes and home health agencies, are required to file Form CMS-10243.
To fill out Form CMS-10243, facilities must gather relevant patient care data, complete all sections of the form accurately, and submit it to the appropriate CMS regional office.
The purpose of Form CMS-10243 is to assess and improve the quality of care provided to patients in Medicare-certified facilities, ensuring compliance with federal regulations.
Information required on Form CMS-10243 includes patient demographics, care outcomes, facility performance metrics, and any relevant quality improvement initiatives.
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