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25.2.4.6 Acknowledgment of Penalty Notice
Hospitals must have on file a signed acknowledgment from the physician stating that the physician received the following notice:
Notice to Physicians: Medicaid payment to hospitals is based, in part, on each client's principal and secondary diagnoses and the major procedures performed on the client, as attested to by the client's attending physician by virtue of his or her signature in the medical record. Anyone who misrepresents, falsifies, or conceals essential information required for payment of federal or state funds, may be subject to fine, imprisonment, or civil penalty under applicable federal and state laws.
The acknowledgment of penalty notice must be specific to the Texas Medicaid Program. Medicare penalty notices are not accepted.
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