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PRINTED: 01/29/2020
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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What is this visit was inconjunction?
This visit was inconjunction is a visit that is conducted alongside another event or activity.
Who is required to file this visit was inconjunction?
Individuals or entities who are involved in both events or activities that are being conducted together.
How to fill out this visit was inconjunction?
The visit was inconjunction can be filled out by providing details about both events or activities and specifying how they are related.
What is the purpose of this visit was inconjunction?
The purpose of this visit was inconjunction is to ensure transparency and disclosure of dual involvement in different events or activities.
What information must be reported on this visit was inconjunction?
Details about both events or activities, the nature of the dual involvement, and any potential conflicts of interest.
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