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PRINTED: 05/16/2019 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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Centers for Medicare & Medicaid Services (CMS) is a federal agency that administers the Medicare program and works in partnership with state governments to administer Medicaid.
Healthcare providers, hospitals, clinics, and other entities that receive Medicare payments are required to file with CMS.
Providers can fill out the necessary forms online through the CMS website or submit paper forms by mail.
The purpose of filing with CMS is to report information related to healthcare services provided to Medicare beneficiaries and to receive reimbursement for those services.
Providers must report details of services provided, patient demographics, billing codes, and reimbursement amounts.
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