UNDER THE WIRE.
* HCFA will match the UB-92 to the MDS and generate reports for use by fiscal intermediaries during medical review of bills. FIs will focus on consistency between the MDS and the rest of the medical record.
* PPS will not cover "non-skilled" residents just because they are included in one of the "top 26" RUGs. From admission through the five-day reference date, however, a resident in the top 26 RUGs may be presumed eligible,
* While noting that the Balanced Budget Act forbade fundamental changes in payment methodology or rate structure, HCFA sald it is looking into "medication therapy, medically complex patients, and other non-therapy ancillary services" and considering "potential refinements to the case-mix model."
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|Publication:||Contemporary Long Term Care|
|Article Type:||Brief Article|
|Date:||Sep 1, 1999|
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|PACE adds another permanent organization-Baltimore, Md. (Under the Wire).|