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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15535910/20/2014FORM
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01
To fill out a substantiated deficiency related to, follow these steps:
02
Begin by clearly identifying and describing the deficiency in detail.
03
Provide supporting evidence or documentation to substantiate the deficiency.
04
Clearly state the root cause or reason behind the deficiency.
05
Outline a plan of action to rectify the deficiency and prevent its recurrence.
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Include any additional information or context that may be relevant to understanding the deficiency.
07
Sign and date the substantiated deficiency form to acknowledge its completion.
08
Submit the filled-out form to the appropriate authority or department for review and further action.

Who needs substantiated deficiency related to?

01
Substantiated deficiency related to may be required by individuals, organizations, or regulatory bodies involved in auditing, quality assurance, compliance, or performance evaluation processes.
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Examples of entities that may need substantiated deficiency related to include:
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- Internal or external auditors
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- Quality control departments
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- Regulatory agencies
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- Accreditation bodies
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- Compliance teams
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- Management or supervisory personnel
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It is important to consult the specific guidelines or requirements of the relevant entity or process to determine who exactly needs substantiated deficiency information.
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Substantiated deficiency is typically related to a formal recognition of a lack of compliance with certain standards or regulations, often within a financial or regulatory context.
Entities or individuals who have been found to not meet certain requirements or standards are required to file a substantiated deficiency.
To fill out a substantiated deficiency, one must provide detailed information on the nature of the deficiency, evidence to support the claim, and any corrective actions taken or planned.
The purpose of filing a substantiated deficiency is to formally address and rectify non-compliance issues, ensuring that all parties are informed and necessary steps are taken to correct the deficiencies.
Information such as the specific deficiency, details of the regulation or standard not met, supporting documentation, and actions taken to address the deficiency must be reported.
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