There is no medical necessity for an inpatient charge on the day following the planned discharge, if the patient is there only because there is no room at the Nursing Home.
Basically, the hospitalist swings by because the patient is still at the hospital, but not because inpatient care is required. I suggest that you do not bill for that visit.
If the patient stays because of an exacerbation of the condition, or other medically necessary visit, code the original discharge as a round. Then code a discharge (based on the available documentation) for the actual face-to-face visit when the patient leaves the facility.
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