PPS Q&A
PPS Alert for Long-Term Care, September 1, 2010
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A. A DPNA is issued if a facility receives a citation and fails to achieve substantial compliance by the 90th day, or if substandard quality of care has been found to exist for the previous three consecutive standard surveys. No Medicare or Medicaid new admissions can be billed for on or after the effective date of the DPNA. Since the overwhelming majority of nursing home patients are covered by Medicare or Medicaid, you can see the financial impact that remaining out of compliance more than 90 days can cause.
This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to PPS Alert for Long-Term Care.
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