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PRINTED: 09/27/2019 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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01
Obtain the necessary forms either online or from a healthcare provider.
02
Fill out personal information including name, address, and date of birth.
03
Provide information about your healthcare provider and services being billed.
04
Include any supporting documentation required for eligibility.
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Submit the completed forms to the appropriate agency for processing.

Who needs medicare medicaid and clia?

01
Individuals who are eligible for Medicare, such as those aged 65 and older or with certain disabilities.
02
Healthcare providers who wish to bill Medicare and Medicaid for services rendered.
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Clinical laboratories that perform diagnostic tests and require CLIA certification to receive Medicare payments.
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Medicare is a federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease. Medicaid is a joint federal and state program that helps with medical costs for some people with limited income and resources. CLIA stands for Clinical Laboratory Improvement Amendments and regulates laboratory testing to ensure quality and accuracy of test results.
Healthcare providers, laboratories, and facilities that participate in the Medicare and Medicaid programs are required to comply with CLIA regulations.
Providers can fill out the necessary forms online through the CMS website or by contacting their state Medicaid agency for assistance with Medicaid reporting. CLIA compliance requires laboratories to undergo inspections and proficiency testing.
The purpose of these programs is to ensure access to affordable healthcare for eligible individuals and to regulate laboratory testing to protect patient health and safety.
Providers must report accurate patient and billing information, as well as comply with CLIA regulations for laboratory testing.
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