One of my clients does a PPS/MDS on all HMO clients.  Then can then dispute the level of care determined by the HMO if the RUG is higher.  They have been very successful
Delores


What rules do HMO have to follow in regards to skilling a resident?  Does anyone know where I can find this information?.


Depends on the HMO, but is very similar to Part A requirements



Delores L. Galias, RN, RHIT

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