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Trying to clarify an interesting situation:
Pt goes OTH at 1:30am, is admitted to the hospital, and is discharged back to us at 1:30pm....Use Feb 11th as the day. Since he was admitted, shouldn't we do a D/C and Reentry? And since he was admitted, don't we have to start the PPS schedule again with a readm (05)? It does not seem to make any sense to restart the process, since he was only out for 12 hours. He was always in our bed at 12 midnight. The acute care hospital is billing for the 11th, so if we restart the PPS process, what is our 1st day of Medicare? Shouldn't it also be the 11th, his day of return to us? How does billing work if the hospital is billing for the 11th? Any help would be appreciated. Ann
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