Form CMS-10221 Independent Diagnostic Testing Facilities - Site Investigation

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.

ADVERTISEMENT

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

4.8 of 5 (25 votes)
  • Form CMS-10221 Independent Diagnostic Testing Facilities - Site Investigation

    1

  • Form CMS-10221 Independent Diagnostic Testing Facilities - Site Investigation, Page 2

    2

  • Form CMS-10221 Independent Diagnostic Testing Facilities - Site Investigation, Page 3

    3

  • Form CMS-10221 Independent Diagnostic Testing Facilities - Site Investigation, Page 4

    4

  • Form CMS-10221 Independent Diagnostic Testing Facilities - Site Investigation, Page 5

    5

  • Form CMS-10221 Independent Diagnostic Testing Facilities - Site Investigation, Page 1
  • Form CMS-10221 Independent Diagnostic Testing Facilities - Site Investigation, Page 2
  • Form CMS-10221 Independent Diagnostic Testing Facilities - Site Investigation, Page 3
  • Form CMS-10221 Independent Diagnostic Testing Facilities - Site Investigation, Page 4
  • Form CMS-10221 Independent Diagnostic Testing Facilities - Site Investigation, Page 5
Prev 1 2 3 4 5 Next
ADVERTISEMENT