Author Topic: Observation days prior to SNF admission  (Read 1168 times)

onthehill666

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Observation days prior to SNF admission
« on: September 13, 2012, 03:42:47 PM »
I handle billing for 3 skilled nursing facilities.  We recently had an admission that went as such:  Patient was in hospital from 8/28-9/9/2012 - Res was admitted for these days.  Patient discharged on 9/9/12, then returned to hospital several hours later on 9/9/12.  He stayed in the hospital from 9/9/12- 9/11/12 under observation. He was not admitted.  He then came directly from the hospital to the skilled nursing facility. 
Question is:  I know he has a qualifing hospital stay from 8/28-9/9 that is still within the 30 day period for the Medicare qualification.  The facility admitted him "from the hospital" - My admit date and hosptial discharge date is not going to match when I bill Medicare...I can find NO occurance codes or othewise that pertain to this situation.

Has anyone else some across this scenario?