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Inpatient FAQ October 2011: Discharge Disposition - Same day readmit to another hospital

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Thursday, September 29, 2011

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Question:
A patient is discharged from our facility (disposition code 01) and is to go to a doctor’s appointment the same day. The patient is then admitted to another hospital after seeing the doctor. What disposition code is appropriate, 01 or 02?

Answer:
Based on the information the hospital had at discharge, the patient was discharged to home (01).  If your facility was unaware of the planned admission at the second facility, it is likely that you will have to modify/adjust your previously submitted claim to indicate a disposition code 02, which reflects where the patient was later admitted on the same date.

Resource: MLN Matters Number: SE0801 / NUBC FAQs

 

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This material was compiled to share information.  MMP, Inc. is not offering legal advice. Every reasonable effort has been taken to ensure the information is accurate and useful.