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Wiki hosptial transfer same day as admit ?
- Thread starter staylor64
- Start date
RebeccaWoodward*
True Blue
E. Physician Services Involving Transfer From One Hospital to Another; Transfer Within Facility to Prospective Payment System (PPS) Exempt Unit of Hospital; Transfer From One Facility to Another Separate Entity Under Same Ownership and/or Part of Same Complex; or Transfer From One Department to Another Within Single Facility
Physicians may bill both the hospital discharge management code and an initial hospital care code when the discharge and admission do not occur on the same day if the transfer is between:
•
Different hospitals;
•
Different facilities under common ownership which do not have merged records; or
•
Between the acute care hospital and a PPS exempt unit within the same hospital when there are no merged records.
In all other transfer circumstances, the physician should bill only the appropriate level of subsequent hospital care for the date of transfer.
30.6.9.1
http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf
Physicians may bill both the hospital discharge management code and an initial hospital care code when the discharge and admission do not occur on the same day if the transfer is between:
•
Different hospitals;
•
Different facilities under common ownership which do not have merged records; or
•
Between the acute care hospital and a PPS exempt unit within the same hospital when there are no merged records.
In all other transfer circumstances, the physician should bill only the appropriate level of subsequent hospital care for the date of transfer.
30.6.9.1
http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf