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spec: Medicare 's transfer policy calls for inpatient payment rates to be reduced when prospective payment system ( PPS ) hospitals discharge beneficiaries in 10 specified diagnosis related groups ( DRG ) to certain postacute care settings such as skilled nursing facilities or home health agencies . Christmas morning was only two days away and the family did n't know what to do , but they were in for a very big surprise , you see they had some very special neighbors who decided to help out this very loving and otherwise happy family . Kind of like the Liberals Utopian dream . Few people have thought more clearly and profoundly . The Currituck light can be seen from 18 nautical miles away and the structure offers a 150-foot spiral staircase for climbing during the greater part of the year . The wind had blown the clouds away but the winter chill hung on . A field-test of a pilot data collection system in December revealed that as a state , outcome-based data could be collected and the value of family literacy could be demonstrated . Tilton said relief from those measures would be years away and the department has no other immediate options except transfers .