Form preview

Get the free OMB NO. 0938-0391 DEPARTMENT OF ...

Get Form
Printed: 02/01/2023 Form Approved OMB No. 09380391Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign omb no 0938-0391 department

Edit
Edit your omb no 0938-0391 department form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your omb no 0938-0391 department form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit omb no 0938-0391 department online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit omb no 0938-0391 department. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out omb no 0938-0391 department

Illustration

How to fill out omb no 0938-0391 department

01
Obtain the OMB No 0938-0391 department form.
02
Read the instructions carefully before filling out the form.
03
Fill in the required information accurately and completely.
04
Double check the form for any errors or missing information before submitting it.

Who needs omb no 0938-0391 department?

01
Individuals or organizations who are required by the Department of Health and Human Services to provide information or data as per the OMB No 0938-0391 form.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.1
Satisfied
45 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The premium pdfFiller subscription gives you access to over 25M fillable templates that you can download, fill out, print, and sign. The library has state-specific omb no 0938-0391 department and other forms. Find the template you need and change it using powerful tools.
pdfFiller has made it simple to fill out and eSign omb no 0938-0391 department. The application has capabilities that allow you to modify and rearrange PDF content, add fillable fields, and eSign the document. Begin a free trial to discover all of the features of pdfFiller, the best document editing solution.
You can easily do so with pdfFiller's apps for iOS and Android devices, which can be found at the Apple Store and the Google Play Store, respectively. You can use them to fill out PDFs. We have a website where you can get the app, but you can also get it there. When you install the app, log in, and start editing omb no 0938-0391 department, you can start right away.
The OMB No. 0938-0391 department is the Department of Health and Human Services (HHS).
Healthcare providers and organizations receiving federal funding from HHS are required to file OMB No. 0938-0391.
The OMB No. 0938-0391 form can usually be filled out online through the HHS website or submitted electronically through designated channels.
The OMB No. 0938-0391 form collects data on healthcare services provided with federal funds to ensure compliance and accountability.
Information on patient demographics, services provided, and financial details related to healthcare funding must be reported on OMB No. 0938-0391.
Fill out your omb no 0938-0391 department online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.