All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ======================================
I know there are Medicare regs that pertain specifically to Long Term Care Hospitals (LTCH), SNF, and Inpatient Rehab Facilities (IRF) that state this requirement. Basically, any transfer out of an LTC/SNF/IRF to another facility, and then back to the original LTC/SNF/IRF facility within "x" days must be treated as an "interrupted stay" and billed as a single visit. Though I don't recall specifically seeing regs that talk about Acute-to-Acute transfers and returns, I believe that the same rules apply. You can check out the CMS website or your intermediary's Medlearn Matters documentation. Gary J. Ring Strategic Resource Group, Inc. 978-807-1573 ---- Original message ---- >Date: Thu, 03 Aug 2006 11:27:11 -0400 >From: "Cathy Dwyer" <[EMAIL PROTECTED]> >Subject: Re: [MEDITECH-L] Patient Leave of Absence (Regulation Question) >To: <[email protected]>, <[EMAIL PROTECTED]> > >All messages should be posted in plain text. HTML will be converted to >attachments. The meditech-l web site is MTUsers.com >====================================== > >I can't point you to anything, but we have the same set up here. It has >to do with Medicare. If the patient has Medicare as their primary >insurance, and they return within 72 hours, they have to be given the >same account number for billing purposes. Any other primary insurance >carrier, and the patient is given a new account. > >I'll ask around to see if there is something official on that. >Cathy > >>>> "Brady, Tim" <[EMAIL PROTECTED]> 8/2/2006 3:26:42 PM >>> >All messages should be posted in plain text. HTML will be converted >to >attachments. The meditech-l web site is MTUsers.com >====================================== > >Can anyone tell me or point me to a regulation regarding a patient who >leaves one in-patient facility to another in-patient facility and then >returns to the original facility? > >We frequently have patients who leave our facility for a surgery at >another in-patient facility and then return to our facility. Right >now >we treat these as LOA patients, rather than a discharge and new >admission, if they return to us within 3 days. I am arguing that this >is not correct, but can not find any regulation that spells it out. > >Any information is appreciated, > >Tim Brady >Director of Information Systems >Mt. Washington Pediatric Hospital > > >_______________________________________________ >meditech-l mailing list >[email protected] >http://mtusers.com/mailman/listinfo/meditech-l > >********************************************************************** >This email and any files transmitted with it are confidential and >intended solely for the use of the individual or entity to whom they >are addressed. If you have received this email in error please notify >[EMAIL PROTECTED] > >This footnote also confirms that this email message has been swept >for the presence of computer viruses. > >********************************************************************** >_______________________________________________ >meditech-l mailing list >[email protected] >http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
