CASE MIX VALIDATION PROCESS
67:45:03:02 Nursing facility and critical access hospital to submit assessments to department.
67:45:03:03 Correction to previously submitted resident assessment.
67:45:03:04 On-site reviews to validate resident classifications.
67:45:03:05 Attempt to reconcile differences.
67:45:03:06 Exit conference.
67:45:03:07 Written report of on-site review.
67:45:03:08 Payment adjustment due to review of resident assessment.
67:45:03:09 Nursing facility to provide resident's clinical record.
67:45:03:10 Record retention.
67:45:03:11 Cases of suspected fraud -- Investigation -- Restitution.
67:45:03:12 Fair hearing.
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