The paperwork burden for Medicare beneficiaries is a little lighter.

Under a rule that took effect Sept. 1, a physician who treats a Medicare patient must fill out and submit the patient's Medicare claim, even if the physician does not agree to accept the Medicare-allowed payment as a full fee.

Before the rule took effect, a doctor was required to submit the claim form to Medicare on behalf of the patient only in cases in which the physician agreed to accept the Medicare-recommended fee as full payment. In cases where doctors charged patients more than the Medicare-recommended amount, patients were required to pay the physician and fill out and submit claims to Medicare for reimbursment of the amount allowed by Medicare.

Under the rule, which was required by Congress, the physician also is prohibited from charging the patient a fee for filling out and submitting the form. The physician is subject to a $2,000 fine for violating the new rules. END NOTES

Low-income single mothers who are put directly into job training, without a period of remedial education first, find more jobs and achieve higher earnings than those who first take courses and then undergo job training later, according to a study released by the Rockefeller Foundation.

Foundation vice president Hugh B. Price said the $12 million study of experimental job programs in four cities is significant because most states and communities setting up such programs under new federal welfare rules are planning to do things the other way around. Their programs will start with "extensive education" and postpone job training until that is finished.

The study suggests that is the wrong approach and that better results can be achieved by immediately training the participants in specific job skills.

Where that approach was used, in San Jose, Calif., after one year there was a 27 percent increase in employment and 47 percent increase in earnings for women in the program compared with a control group. But where remedial education came first -- in the District, Atlanta and Providence, R.I. -- there was no increase compared with the control group.