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Inpatient Facility Coding & Compliance Alert

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Criteria for Changing Patient Status

Published on Tue Feb 11, 2014

Question: A patient was formally admitted as an inpatient, per physician orders. The Utilization Review Committee determined that the inpatient admission was not medically necessary, but the patient remained an inpatient. Can the hospital change the status of the inpatient bill to outpatient? Wisconsin Subscriber Answer: In cases where a hospital Utilization Review Committee determines that an inpatient admission does [...]
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