Hello All!!
I am hoping someone might have some insight for me. We all know about the 3 day payment window when its outpatient and inpatient but what about when a patient is discharged from a hospital and returns and is readmitted within 22 hours. Both inpatient stays are for the same DRG. Is there a national rule or standard on if they can be billed separately or combined? Anyone have any experience with submitting a similar case to Medicare?
I am hoping someone might have some insight for me. We all know about the 3 day payment window when its outpatient and inpatient but what about when a patient is discharged from a hospital and returns and is readmitted within 22 hours. Both inpatient stays are for the same DRG. Is there a national rule or standard on if they can be billed separately or combined? Anyone have any experience with submitting a similar case to Medicare?