tci Part B Insider - 2009 Issue 12

PART B MYTHBUSTER : Know the Rules for Coding Patient Discharges Followed by Readmissions

Tip: Find out the reason for readmission before you code. Myth: Once you discharge a patient from the hospital, any subsequent readmission counts as a new hospital stay. Reality: If you discharge the patient and readmit her on the same day, you may have to bill a subsequent hospital care code, depending on the reason for readmission. The scenario: Suppose a patient is admitted on March 1 and discharged on the morning of March 8. Later that day (March 8), the patient is readmitted to the hospital. The quandary: What is the appropriate way to code the charges? Should...

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