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Forms Compliance Correction Action Plan. Instructions for completing the Compliance Corrective Action Plan. Root Cause Analysis – Step 1. Review and complete the Incomplete/Late 2728 and 2746 Root Cause Analysis Flowchart and the sample flowchart

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forms compliance correction action plan

Forms Compliance Correction Action Plan

Instructions for completing the Compliance Corrective Action Plan

root cause analysis step 1
Root Cause Analysis – Step 1
  • Review and complete the Incomplete/Late 2728 and 2746 Root Cause Analysis Flowchart and the sample flowchart
  • You will be required to tally the number of errors for certain fields on the 2728 and the 2746
  • This will assist you in identifying specific problem areas
  • This will also determine if there is a problem with timeliness
root cause analysis step 2
Root Cause Analysis – Step 2
  • Based on the flowcharts, choose the four highest problem areas
  • Write specific problem statements based on these areas
  • Write specific procedures that will be implemented to correct the identified problems
compliance corrective action plan
ComplianceCorrective Action Plan
  • Based on step 2 of the Root Cause Analysis, complete the Compliance Corrective Action Plan template
  • The Compliance Corrective Action Plan must be signed by the person completing the forms or Data Contact, the Administrator and the Medical Director
  • Finally, submit the Corrective Action Plan to the Network with all required signatures
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