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CHAPTER 67:45:03

 

CASE MIX VALIDATION PROCESS

Section

67:45:03:01        Definitions.

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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