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OASIS

1.60 Correction 1

Submission body record

Current Payment Sources for Home Care: Worker"s Compensation

(M0150) Current Payment Sources for Home Care: (Mark all that apply.)

0 - None, no charge for current services
1 - Medicare (traditional fee-for-service)
2 - Medicare (HMO/managed care)
3 - Medicaid (traditional fee-for-service)
4 - Medicaid (HMO/managed care)
5 - Workers" compensation
6 - Title programs (e.g., Title III, V, or XX)
7 - Other government (e.g., CHAMPUS, VA, etc.)
8 - Private insurance
9 - Private HMO/managed care
10 - Self-pay
11 - Other
UK - Unknown

1

324

324

01,03,04,05,06,07,08,09

X

CODE

0, 1

0=No/Unchecked, 1=Yes/Checked

*1. If M0100_ASSMT_REASON matches one of the active RFA"s, then at least one item between M0150_CPAY_NONE and M0150_CPAY_UNKNOWN must be equal to 1.

*2. If M0150_CPAY_NONE=1 then M0150_CPAY_MCARE_FFS thru M0150_CPAY_UNKNOWN must be 0 (zero).

*3. If M0150_CPAY_UNKNOWN = 1, then M0150_CPAY_NONE thru M0150_CPAY_OTHER must = 0 (zero).

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