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PRINTED: 09/25/2023 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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How to fill out from 82923 through 83023

How to fill out from 82923 through 83023
01
Fill in the patient's personal information on form 82923.
02
Provide detailed medical history and any relevant information on form 82924.
03
Complete the physical examination section on form 82925.
04
Include any laboratory or diagnostic test results on form 82926.
05
Fill out the treatment plan and follow-up care on form 82927.
06
Review and sign the forms as required before submitting them.
Who needs from 82923 through 83023?
01
Healthcare professionals such as doctors, nurses, and medical assistants who are involved in the care and treatment of the patient.
02
Insurance companies and other healthcare providers who need accurate medical records for billing and reimbursement purposes.
03
Government agencies or regulatory bodies that require documentation for legal or compliance reasons.
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