tci Medicare Compliance & Reimbursement - 2006 Issue 38
PART B: Make Sure Same-Day Admit And Discharge Are Both Face-To-Face
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Article Overview
This article explains a facility-transfer scenario involving same-day discharge from one setting and admission to another, with emphasis on face-to-face physician involvement, separate facility addresses, and the administrative context behind the billing question. It is intended for coders and billing staff who need to understand how the guidance relates to Medicare policy language and claim submission practices.
Why This Topic Matters
Understanding this guidance helps avoid billing errors when a patient moves between facilities on the same day and the physician interacts with both sites. The article also clarifies how Medicare manual language is being interpreted in transfer situations.
What You Will Learn
- How same-day discharge and admission scenarios are discussed in facility transfer situations
- Why separate facility locations and claim handling matter in this context
- How Medicare manual language is being interpreted in relation to transfers between facilities
- What operational considerations billing staff should verify before submitting claims
Who Should Read This
- Medical coders
- Hospital billing staff
- Facility revenue cycle teams
- Compliance staff
- Physicians involved in facility transfers
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