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PRINTED: 10/02/2015 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION

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What is no deficiencies resulted from?

No deficiencies resulted from is a statement or report that indicates there were no issues or discrepancies found during a review, audit, or assessment.

Who is required to file no deficiencies resulted from?

Organizations or individuals undergoing an audit or compliance review and who meet certain criteria are typically required to file a no deficiencies resulted from report.

How to fill out no deficiencies resulted from?

To fill out a no deficiencies resulted from report, provide accurate information regarding the audit or review process, confirming that no deficiencies were found and include any required documentation or signatures.

What is the purpose of no deficiencies resulted from?

The purpose of no deficiencies resulted from is to formally communicate that an entity has complied with standards and has no findings or issues requiring attention.

What information must be reported on no deficiencies resulted from?

The report must include the name of the entity, date of the audit, a statement confirming no deficiencies, and may require the auditor's signature and contact information.

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