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Wiki Medicare and Observation hours over 48

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SSummCCH

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We have had providers who are consistently keeping people in observation over 48 hours. That is being dealt with. However, how do we bill these to Medicare. I know they will send an ADR. Then, we still get a denial for all of the observation charges and not just those over 48 hours. Should there be a separate line item for hours over 48 hours and put those as non-covered? Thank you in advance.
 
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