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PRINTED: 12/31/2020 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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The 0113 form, often referred to in specific jurisdictions, is a document that is approved for reporting certain financial or operational data to regulatory bodies.
Entities or individuals that meet specific criteria set by the regulatory authorities are required to file the 0113 form, typically including businesses operating in regulated industries.
To fill out the 0113 form, one should carefully read the instructions provided, enter the required information in the designated fields, and ensure that all data is accurate before submission.
The purpose of the 0113 form is to collect essential information for compliance and regulatory oversight, helping authorities monitor and assess activities within the relevant sector.
Key information typically includes financial data, operational metrics, compliance details, and any other data as specified by the regulatory body.
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