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Form CMS-10221 Independent Diagnostic Testing Facilities - Site Investigation
What Is Form CMS-10221?
This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services on May 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form CMS-10221?
A: Form CMS-10221 is a document used for conducting a site investigation of Independent Diagnostic Testing Facilities.
Q: What is an Independent Diagnostic Testing Facility?
A: An Independent Diagnostic Testing Facility is a non-hospital facility that provides diagnostic testing services.
Q: Who uses Form CMS-10221?
A: Medicare Administrative Contractors use Form CMS-10221 to conduct site investigations of Independent Diagnostic Testing Facilities.
Q: What is the purpose of a site investigation?
A: The purpose of a site investigation is to assess compliance with Medicare requirements and ensure that the facility is capable of providing quality diagnostic testing services.
Q: What information is collected on Form CMS-10221?
A: Form CMS-10221 collects information about the facility's location, ownership, personnel, equipment, and compliance with Medicare requirements.
Form Details:
- Released on May 1, 2020;
- The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CMS-10221 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.
Download Form CMS-10221 Independent Diagnostic Testing Facilities - Site Investigation
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