Question: An administrator learns that managers in the facility have been underreporting the amount of care provided to each resident, resulting in low Patient Driven Payment
An administrator learns that managers in the facility have been underreporting the amount of care provided to each resident, resulting in low Patient Driven Payment Model (PDPM) case-mix group (CMG) scores. The administrator should know which of the following is the likely result? A. Criminal charges leveled against the facility B. Loss of income to the facility C. A fine levied by the Centers for Medicare and Medicaid Services. D. An audit by the Internal Revenue Service (IRS)
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