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Cms national coverage policy title xviii of the social security act, §1862 (a) (1) (a) allows coverage and payment for only those services that are considered to be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. Cms national coverage policy title xviii of the social security act, §1833 (e) states that no payment shall be made to any provider for any claim which lacks the necessary information to process the claim. However, the nursing home may have a policy that requires you to tell them before you plan to leave If you don’t, you may have to pay an extra fee
You can’t be sent to another nursing home, or made to leave the nursing home, unless any of the following are true:
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