Continuing Care. Except for claims subject to the CHAMPUS DRG-based payment system, whenever medical services and supplies are being ren- dered on a continuing basis, an appro- priate claim or claims should be sub- mitted every 30 days (monthly) wheth- er submitted directly by the bene- ficiary or sponsor or by the provider on behalf of the beneficiary. Such claims may be submitted more frequently if the beneficiary or provider so elects. The Director, OCHAMPUS, or a des- ignee, also may require more frequent claims submission based on dollars. Ex- amples of care that may be rendered on a continuing basis are outpatient phys- ical therapy, private duty (special) nursing, or inpatient stays. For claims subject to the CHAMPUS DRG-based payment system, claims may be sub- mitted only after the beneficiary has been discharged or transferred from the hospital.
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