S9100B


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Property Specification
Data System MDS
Data Specs V1.15.0
Description VA Room & Board Payment Entry Date
Item Text VA - Per Diem Reimbursement (Code for the primary source of per diem room and board reimbursement for the resident on the date indicated) Date of Entry (A1600)
Group Asmt
Type Code
Length 1
Fixed Start-End 2499-2499
Version Notes

Item Subsets
Active
Inactive SP,SS,SSD,SO,SOD,SD,ST,XX
State optional NC,NQ,NP,NS,NSD,NO,NOD,ND,NT

Item Values
Value LOINC Text
1 Virginia Medicaid per diem
2 Virginia Medicaid Specialized Care per diem
3 Managed Care Organization reimbursement
4 Other reimbursement source

Item Edits
Edit ID Type Severity Edit Text
-3808 Format Warning When this Section S item is required by a State, it should equal one of the valid values indicated in the data specifications for that item. Note that for numeric items, signed numbers (with a leading plus or minus sign) should not be submitted.

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Generated: 03/11/2015 04:34:37 PM