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PRINTED: 11/21/2022 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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An investigation survey is a systematic collection of data and information to assess a specific situation or issue, often performed to gather evidence or insights related to a particular case.
Typically, individuals or entities involved in a specific investigation or those who have information relevant to the investigation are required to file the survey.
To fill out the investigation survey, follow the provided guidelines, ensure all required sections are completed accurately, provide necessary evidence or documentation, and submit the form by the designated method.
The purpose of conducting an investigation survey is to collect comprehensive data to inform decision-making, assess compliance, understand issues, and support legal or regulatory processes.
The information required typically includes details about the subject of the investigation, the nature of the issue, relevant dates, involved parties, and any evidence or findings related to the investigation.
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