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?