What is discharge status code 03? %%EOF No portion of the AHA copyrighted materials contained within this publication may be copied without the express written consent of the AHA. This includes but is not. In an effort to better enable the collection of health-related social needs (HRSNs), defined as individual-level, adverse social conditions that negatively impact a persons health or healthcare, are significant risk factors associated with worse health outcomes as well as increased healthcare utilization, the Centers for Disease Control and Preventions (CDC) National Center for Health Statistics (NCHS) is implementing 42 new diagnosis codes into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), for reporting effective April 1, 2023. 222 0 obj <> endobj ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. 0000001920 00000 n U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements. Note: The information obtained from this Noridian website application is as current as possible. hbbd``b`f " BD "'L\ M~ w` 07 Left Against Medical Advice or Discontinued Care 63 Discharged/Transferred to Long Term Care Hospitals (LTCHs) When a patient is discharged from an acute hospital to a Critical Access Hospital (CAH) swing bed, use patient discharge status code 61. CMS requires patient discharge status codes for: In addition, CMS emphasizes that proper discharge coding is just as critical a factor in ensuring proper claims filing and processing as any other coding and providers are responsible for ensuring accurate discharge designations. This code applies to discharges and transfers to a government operated health care facility including: J\6]q%" =H4$ 0ASR`>^^3/[m 0 c6zA9l4y63Ma;$e:|re@|^p&-DF "SJQ:EnVuSu^w4_k+8m69)36:/#(%M^a,5PIhC!CXH(o59ZVm}MkWy?8' on the guidance repository, except to establish historical facts. Improper payments Please be sure to reference SE0801 and SE1411 for more details. The discharge status code identifies where the patient is being discharged to at the end of their facility stay or transferred to such as an acute/post-acute facility. The discharging facility should ensure that documentation in the patients medical record supports the billed discharge status code. <<5887C3D76045B64BA1888B73E4DDD033>]>> CDT is a trademark of the ADA. 0000006792 00000 n This Agreement will terminate upon notice to you if you violate the terms of this Agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT-4. WebKey Findings. The ADA does not directly or indirectly practice medicine or dispense dental services. The Office of Inspector General (OIG) conducted several reviews identifying Medicare overpayments to hospitals that did not comply with the post-acute care transfer policy. 0000005441 00000 n 0000048794 00000 n This may occur when a hospital discharges the patient to home (Patient Discharge Status Code 01), the patient goes to a doctors appointment the same day and is then admitted to another hospital. This code is used for reporting patients discharged/transferred to a SNF level of care within the hospitals approved swing bed arrangement. Applications are available at the AMA Web site, https://www.ama-assn.org. Users must adhere to CMS Information Security Policies, Standards, and Procedures. wKb${aY]YlYwKr{l."T-g3q,$I=hS!b ;fj5Ku{:m3>g'9?0"y*Ieo&5qMHtZT`;QA]Uv|:Z{9,VGk,}D=aS&=JE(e;J)yXHUB3'SqM`}tu;nvkuO?O%Fi X. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. This includes items such as CPT codes, CDT codes, ICD-10 and other UB-04 codes. 44-49 Reserved for National Assignment The use of the information system establishes user's consent to any and all monitoring and recording of their activities. The ADA does not directly or indirectly practice medicine or dispense dental services. Patient Discharge Status Code Definition. 0000006647 00000 n Overall: 78 percent of patients discharged to hospice care in 2021 were placed in home hospice compared to facility hospice. ), Leaves a Medicare IPPS acute care hospital after receiving complete acute care treatment or, Transferred to another acute care IPPS hospital or unit for related care (Patient Discharge Status Code 02 or Planned Acute Care Hospital Inpatient Readmission Patient Status Code 82), Admitted to another PPS on the same day after leaving their designated IPPS hospital against medical advice (Patient Discharge Status Code 07), Transferred to a hospital that would ordinarily be paid under the IPPS, but is excluded because of participation in a state or area wide cost control program (Patient Discharge Status Code 02 or Planned Acute Care Hospital Inpatient Readmission Patient Status Code 82). This is the current published version. https:// 0000000016 00000 n Discharge status code list. 05. UnitedHealthCare Community Plan will deny claims when the Patient Discharge Status is inconsistent with the type of bill reported. DME supplier or You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. 0000014662 00000 n To assure proper payment under the Medicare Severity-Diagnosis Related Group (MS-DRG) payment system, hospitals must be sure to code the FOURTH EDITION. Note: This code should not be used when a patient is transferred to an inpatient psychiatric unit of a federal hospital (e.g., Veterans Administration Hospitals). 0000002819 00000 n All Rights Reserved (or such other date of publication of CPT). Issued by: Centers for Medicare & Medicaid Services (CMS). 0000009829 00000 n All Hospice and Home Health Claims (TOBs 32X, 33X, 34X, 81X and 82X). 0000048901 00000 n IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK ABOVE ON THE LINK LABELED "I Do Not Accept" AND EXIT FROM THIS COMPUTER SCREEN. An official website of the United States government. 0 All Rights Reserved to AMA. A federal government website managed by the The AMA is a third-party beneficiary to this license. 3. The recent CMS discharge planning rule that went into effect in November 2019 included several changes aimed at improving care transitions and encouraging patients involvement in their follow-up treatment and care protocols. ** Skilled Nursing Claims (TOBs 18X, 21X, 22X and 23X); The appropriate type of bill is determined based on the following guidance from the NUBC: or transfers to court/law enforcement. WebThey are generally infections that occur more than 48 to 72 hours after _____ and within 10 days after hospital discharge. ( Click here to review the rule in the Federal Register.) 0 All Hospice and Home Health Claims (TOBs 32X, 33X, 34X, 81X and 82X). In the past, HCAI adjusted the grouper and applied it to records based on a calendar year. 0000046532 00000 n New Patient Discharge Status Code 21 to Define Discharges or Transfers to Court/Law Enforcement This article is based on Change Request (CR) 6385 which Whether the bed is Medicare certified or not. An announcement was also made at the September 2017 ICD-10 Coordination and Maintenance Committee meeting that FY 2018 would be the last GEMs file update. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. or 09 Admitted as an Inpatient to this Hospital The scope of this license is determined by the ADA, the copyright holder. Bookmark | else{document.getElementById("usprov").href="/web/"+"jeb"+"/help/us-government-rights";}, Advance Beneficiary Notice of Noncoverage (ABN), Cardiac and Pulmonary Rehabilitation Programs, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS), Acute Inpatient Prospective Payment System (IPPS) Hospital, Comprehensive Outpatient Rehabilitation Facility (CORF), Fee-for-Time Compensation Arrangements and Reciprocal Billing, Outpatient Prospective Payment System (OPPS), Provider Appeal Requests - PRRB or Contractor Hearings, Provider Statistical and Reimbursement (PS&R) System, Documentation Requests: How, Who and When to Send, Medical Documentation Signature Requirements, Supplemental Medical Review Contractor (SMRC), Unified Program Integrity Contractor (UPIC), Provider Outreach and Education Advisory Group (POE AG), PECOS and the Identity and Access Management System, Provider Enrollment Reconsiderations, CAPs, and Rebuttals, click here to see all U.S. Government Rights Provisions, American Hospital Association Online Store, Discharged to home or self-care (routine discharge), Discharged/transferred to a short-term general hospital for inpatient care, Discharged/transferred to skilled nursing facility (SNF) with Medicare certification, Discharged/transferred to a facility that provides custodial or supportive care, Discharged/transferred to a designated cancer center or children's hospital, Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care, Left against medical advice or discontinued care, Admitted as an inpatient to this hospital, Discharged/transferred to court/law enforcement, Expired in a medical facility (e.g., hospital, SNF, ICF, or free-standing hospice), Discharged/transferred to a federal health care facility, Hospice - medical facility (certified) providing hospice level of care, Discharged/transferred to a hospital-based Medicare approved swing bed, Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital, Discharged/transferred to a Medicare certified long term care hospital (LTCH), Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare, Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital, Discharged/transferred to a critical access hospital (CAH), Discharged/transferred to a designated disaster alternate care site (effective 10/1/13), Discharged/transferred to another type of health care institution not defined elsewhere in this code list, Discharged to home or self-care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a short-term general hospital for inpatient care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a skilled nursing facility (SNF) with Medicare certification with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a facility that provides custodial or supportive care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a designated cancer center or children's hospital with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to court/law enforcement with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a federal health care facility with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a hospital-based Medicare approved swing bed with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a Medicare certified long term care hospital (LTCH) with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to a critical access hospital (CAH) with a planned acute care hospital inpatient readmission (effective 10/1/13), Discharged/transferred to another type of health care institution not defined elsewhere in this code list with a planned acute care hospital inpatient readmission (effective 10/1/13). It is important to select the correct Patient Discharge Status code. Receive Medicare's "Latest Updates" each week. Issued by: Centers for Medicare & Medicaid Services (CMS). To assist in the proper coding of a patient discharge status code, you may access data elements, codes, and FAQs by referring to the UB-04 Data Specifications Manual on the National Uniform Billing Committee website. If providers are not sure whether a facility is a LTCH or a short-term care hospital, they should contact the facility to verify their facility type before assigning a patient discharge status code. 4. Discharge Disposition code 2 - Patient discharged from agency (with formal assistive services). Applications are available at the AMA website. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented. This code should be used when a patient is transferred to an inpatient psychiatric unit or inpatient psychiatric designated unit. 0000003110 00000 n The .gov means its official. All the articles are getting from various resources. The NUBC has also clarified that this code should also be used when a patient is transferred to an inpatient psychiatric unit of a Veterans Administration hospital. The CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Heres how you know. BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. 0000007895 00000 n WebThe Grouper allows users to enter one or more ICD-10-CM diagnosis codes and any applicable ICD-10-PCS procedure codes along with some other required inputs, click a button, and quickly get the resulting DRG and other important information (including the Relative Weight, Length of Stay, Procedure Type, Post Acute indication, etc. Web The Centers for Medicare & Medicaid Services (CMS) requires patient discharge status codes for: Hospital Inpatient Claims (type of bills (TOBs) 11X and 12X); Skilled 2742 0 obj <>/Filter/FlateDecode/ID[<53B0157D40280326833A3E6B2AA10E6C>]/Index[2730 21]/Info 2729 0 R/Length 67/Prev 112585/Root 2731 0 R/Size 2751/Type/XRef/W[1 2 1]>>stream trailer In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. No fee schedules, basic unit, relative values or related listings are included in CDT. hb```f``= "@1v u0Yh0 Yx84K;jssz+];=G$J3x. 40 42 Hospice Patient discharge status Codes Hospice Claims Only (TOBs: 81X & 82X) The level of care that will be provided by the hospice upon discharge is essential to determining the proper code to use. To assure proper payment under the Medicare Severity-Diagnosis Related Group (MS-DRG) payment system, hospitals must be sure to code the discharge/transfer status of patients accurately to reflect the level of post-discharge care to be received by the patient. Webwhich tools would you use to make header 1 look like header 2 The ADA is a third-party beneficiary to this Agreement. In this case, see Patient discharge status Code 43. You can decide how often to receive updates. The patient is admitted from home (a private residence) to an acute setting. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. All our content are education purpose only. Webafc urgent care near me failed to install flexnet license manager solidworks; dahlonega nugget arrests hells angels shooting san bernardino; candybar doll maker 4 introduction to computer science 2nd edition pdf; socks for cold feet at night Discharged/transferred to a facility that provides custodial or supportive care. 200 Independence Avenue, S.W. Swing beds are not part of the post acute care transfer policy. This code is used when the patient is still within the same facility and is typically used when billing for leave of absence days or interim bills. 52-60 Reserved for National Assignment CDT-4 is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. 0000093210 00000 n On-Call for Critical Requests: Holidays and Outside Business Hours call 989.583.6014. Some of the descriptions of the discharged status codes were changed prematurely. WebClick here for Clinical Engineering Services (BioMed) eCovenant IT. Please reach out and we would do the investigation and remove the article. means youve safely connected to the .gov website. The primary method to identify that the patient is still receiving care is the bill type frequency code (e.g., Frequency Code 2: Interim First Claim, or Frequency Code 3: Interim Continuing Claim) Bill types ending in 2 or 3 should be reported with patient status of 30. 05 Discharged/Transferred to Another Type of Health Care Institution Not Defined Elsewhere in This Code List endstream endobj 813 0 obj <>/Outlines 24 0 R/Metadata 308 0 R/PieceInfo<>>>/Pages 307 0 R/PageLayout/OneColumn/OCProperties<>/OCGs[814 0 R]>>/StructTreeRoot 310 0 R/Type/Catalog/LastModified(D:20090710093708)/PageLabels 305 0 R>> endobj 814 0 obj <. In cases in which two or more Patient Discharge Status codes apply, providers should code the highest level of care known. Nor transfers to a CAH swing bed should still be coded with Patient discharge status Code 61. No fee schedules, basic unit, relative values or related listings are included in CPT. BCBS prefix Why its important to read correctly. 2023 Noridian Healthcare Solutions, LLC Terms & Privacy. WebThis is the current published version in it's permanent home (it will always be available at this URL). 0000092313 00000 n Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. 2023 Alora Healthcare Systems, LLC. This Agreement will terminate upon notice if you violate its terms. 50 and 51 Discharged/Transferred to a Hospice There are times in which the various content contributor primary resources are not synchronized or updated on the same time interval. Webcms discharge disposition codes 2021oxford statistics phd. 06. These patient discharge status codes are reserved for national assignment. Patient discharge status Code 50 should be used if the patient went to his/her own home or an alternative setting that is the patients home, such as a nursing facility, and will receive in-home hospice services. These two patient discharge status codes are used to identify when a patient is discharged or transferred to hospice care. + | %%EOF The latest ones are on May 30, 2021 11 new Cms Discharge Disposition Code List results have been found in the last 90 days, which means that every 9, a new License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Washington, D.C. 20201 Any questions pertaining to the license or use of the CPT must be addressed to the AMA. ( 31-39 Reserved for National Assignment WebCodesystem-encounter-discharge-disposition - FHIR v4.3.0 Terminology Code Systems This page is part of the FHIR Specification (v4.3.0: R4B - STU ). Age: In 2021, about 54 percent of total discharges to hospice care were patients aged 70-89. All rights reserved. Additional Guidance on Use of Patient discharge status Code 50 or 51. CMS Change Request, CR10602 - Update to the Hospital Transfer 2750 0 obj <>stream The fourth digit is indicative of the submission frequency, and should align with the Patient Discharge Status reported on the claim. Toll Free Call Center: 1-877-696-6775. website belongs to an official government organization in the United States. 03 Discharged/Transferred to a Skilled Nursing Facility (SNF) with Medicare Certification in Anticipation of Skilled Care Department of Defense hospitals; Based on national guidelines for completing and submitting a UB-04 (or the electronic comparative) a provider must assign a Patient Discharge Status code which aligns with the type of bill (TOB) submitted. Latham, NY 12110 The important thing to remember about this patient discharge status code is that it is to be used when a patient leaves against medical advice or the care is discontinued. 64 Discharged/Transferred to a Nursing Facility Certified Under Medicaid but not Certified Under Medicare This license will terminate upon notice to you if you violate the terms of this license. On outpatient claims, the primary method to identify that the patient is still receiving care is the bill type frequency code (e.g., Frequency Code 3: Interim Continuing Claim). 41 Expired in a Medical Facility, such as a hospital, SNF, ICF, or free-standing hospice; and Discharged/transferred to a designated cancer center or children's hospital. Webadjustment bill to correct the discharge status code following Medicares claim adjustment criteria located in the Medicare Claims Processing Manual, Chapter 1, Section 130.1.1 Web04. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. ** Outpatient Hospital Claims (TOBs 13X, 14X, 71X, 73X, 74X, 75X, 76X and 85X); and This code includes discharge to home; jail or law enforcement; home on oxygen if durable medical equipment (DME) only; any other DME only; group home, foster care, and other residential care arrangements; outpatient programs, such as partial hospitalization or outpatient chemical dependency programs; assisted living facilities that are not state-designated. a. Last Updated: Jul 08, 2021 0000006351 00000 n Constrained to codes in the Discharge Disposition: Discharge To Acute Care Facility value set (2.16.840.1.113883.3.117.1.7.1.87), QDM Attribute and Definition (QDM Version 5.5 Guidance Update). Patient Discharge Status Codes and Their Appropriate Use 0000003710 00000 n 0000007758 00000 n License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Constrained to codes in the Discharge Disposition: Patient Expired value set (2.16.840.1.113883.3.117.1.7.1.309) QDM Attribute and Definition (QDM Version 5.3) dischargeDisposition The disposition or location to which the patient is transferred at the time of hospital discharge. Unauthorized or illegal use of the computer system is prohibited and subject to criminal and civil penalties. Veterans Administration nursing facilities. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. 0000002491 00000 n Font Size: A patient discharge status code is a two-digit code that identifies where the patient is at the conclusion of a health care facility encounter (this could be a visit or an actual inpatient stay) or at the time end of a billing cycle (the through date of a claim). Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT-4 only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Applications are available at the, Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. xref No fee schedules, basic unit, relative values or related listings are included in CDT-4. Providers will need to establish a process for identifying whether a hospital is paid under the PPS or whether the facility is designated as a CAH. You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin, and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. If the first hospital was unaware of the planned admission at the second hospital, its likely the first hospital will have to adjust the previously submitted claim to correct the patient discharge status code to indicate a transfer (02), which reflects where the patient was later admitted on the same date. The patient has elected the hospice benefit and will be receiving hospice care under arrangement with a hospice organization; the patient is receiving residential care only; If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. 20: Expired -used only when the patient dies: 21: Discharges or transfers to court/law WebRefer an Agencyand get up to $2,500! WebThe grouper software is updated by CMS at the beginning of each federal fiscal year (October 1st) and applied to patient records based on their reported discharge date. The same processes should be applied for patient discharge status codes as with any other coding. 0000004341 00000 n endstream endobj startxref 0000007548 00000 n Hospital Inpatient Claims (type of bills (TOBs) 11X and 12X); Skilled Nursing Claims (TOBs 18X, 21X, 22X and 23X); Outpatient Hospital Services (TOBs 13X, 14X, 71X, 73X, 74X, 75X, 76X and 85X); and. Web05. The files in the Downloads section below contain information on the ICD-10-CM updates effective with discharges on and after April 1, 2023. if(pathArray[4]){document.getElementById("usprov").href="/web/"+pathArray[4]+"/help/us-government-rights";} Answer: Episodes for patients discharged to a non-institutional (home) hospice (M0100 Reason for assessment RFA 9 Discharge from Agency) where M2420 Discharge Disposition is coded with Response 3 Patient transferred to a non-institutional hospice, and with a M0906 Discharge/Transfer/Death Date of 1/1/2023 or 65 Discharged/Transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital on the guidance repository, except to establish historical facts. The level of care the patient is receiving; and Patient discharge status code 04 is typically defined at the state level for specifically designated 0000010530 00000 n Webmedical record. If any beds at the facility are Medicare certified, then the provider should use either patient discharge status code 03 or 04, depending on: IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THESE AGREEMENTS CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. Patient has WC and Medicare insurance? 8AM - 4:30PM. To sign up for updates or to access your subscriber preferences, please enter your contact information below. On September 26, 2019, the Centers for Medicare and Medicare Services (CMS) released the final rule on discharge planning requirements (the Final Rule) in an effort to empower patients to be active participants in the discharge planning process. This is a correction to the Texas Medicaid Provider Procedures Manual (TMPPM), Volume 1, General Information, subsection 6.6.6, Patient Discharge Status Codes. The table in this subsection in the December 2012 and January 2013 editions of the TMPPM has the following errors:

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