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Region [Region #] Recovery Audit Contractor (RAC) Date [Request Date] [Facility Point of Contact] [Physician Practice Name] [Street Address Line 1] [Street Address Line 2] [City, State ZIP] NPI: PTAN: Phone: Fax: Letter Request ID: Batch ID: RE: Review Results Letter Dear Medicare Provider/Supplier, Thank you for your cooperation with providing the additional documentation requested in our previous letter, dated [ADR Letter Date]. Based on our review of the documentation, it has been...

How to fill out facility point of contact

How to fill out facility point of contact

1. Start with the name of the facility point of contact.
2. Include the title or position of the point of contact.
3. Provide a direct phone number for communication.
4. List an email address to facilitate electronic communication.
5. Specify the hours of availability for contact.
6. Include a physical address of the facility if necessary.
7. Ensure all information is accurate and up-to-date.

Who needs facility point of contact?

1. Emergency services personnel who require immediate contact.
2. Health and safety inspectors needing to coordinate visits.
3. Maintenance and service providers requiring access.
4. Regulatory agencies that need information about the facility.
5. Employees who need a clear point of communication for internal matters.

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What is facility point of contact?

A facility point of contact is an individual designated to serve as the primary contact for communications regarding a specific facility, typically responsible for providing information and responding to inquiries.

Who is required to file facility point of contact?

Typically, the facility owner or operator is required to file the facility point of contact, ensuring that there is a designated representative for regulatory and emergency communications.

How to fill out facility point of contact?

To fill out the facility point of contact, provide the individual's name, title, contact information (including phone number and email address), and any additional relevant details as required by the governing authority.

What is the purpose of facility point of contact?

The purpose of the facility point of contact is to establish a clear line of communication between the facility and regulatory agencies or stakeholders, facilitating effective information exchange and emergency response.

What information must be reported on facility point of contact?

The information that must be reported includes the contact person's name, title, organization, phone number, email address, and any relevant certifications or qualifications.