Αποτελέσματα Αναζήτησης
The Centers for Medicare & Medicaid Services (CMS) requires patient discharge status codes for: Hospital Inpatient Claims (type of bills (TOBs) 11X and 12X); Skilled Nursing Claims (TOBs 18X, 21X, 22X and 23X);
Medicare requires that when discharging a patient from an inpatient stay, the discharging facility reports the discharge disposition in the “Patient Discharge Status” field (FL 17). The claim must include the discharge status code that most accurately reflects the discharge of the patient.
2 Φεβ 2024 · Search for a Patient Discharge Status Code. Status. Definition. 01. Discharged to home or self-care (routine discharge) 02. Discharged/transferred to short-term general hospital for Inpatient Care. 03. Discharged/transferred to skilled nursing facility SNF with Medicare certification.
14 Σεπ 2020 · Description: Your claim includes a value code (12 — 16 or 41 — 43) which indicates that Medicare is the secondary payer; however, the claim identifies Medicare as the primary payer. Resolution:
22 Φεβ 2021 · The OIG review, August 2020 Report No. A-04-18-04067, identifies Medicare overpayments to hospitals that didn’t comply with Medicare's post-acute-care transfer policy (transfer policy). In these instances, to ensure proper coding of the patient discharge status, hospitals should use condition codes 42 and 43.
The discharge status code identifies where the patient is being discharged to at the end of their facility stay or transferred to such as an acute/post-acute facility. The discharging facility should ensure that documentation in the patient’s medical record supports the billed discharge status code. Billing the incorrect code may affect their ...
10 Απρ 2023 · Submit your final claim with Patient Status Code 50 or 51 to indicate transfer to another hospice. If a gap in care occurs (receiving hospice does admit the beneficiary on the transfer date), the transferring hospice needs to submit their final claim with an appropriate discharge Patient Status Code, other than 50 or 51
