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PRINTED: 11/21/2022 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Medicare form OMB 0938 is a form used by healthcare providers to report information to the Centers for Medicare & Medicaid Services (CMS).
Healthcare providers who provide services to Medicare beneficiaries are required to file Medicare form OMB 0938.
Medicare form OMB 0938 can be filled out electronically or manually, following the instructions provided by CMS.
The purpose of Medicare form OMB 0938 is to collect and report data on the services provided to Medicare beneficiaries for reimbursement purposes.
Information such as the services provided, diagnosis codes, procedure codes, and patient demographics must be reported on Medicare form OMB 0938.
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