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Has anyone been successful with a discharge lounge? If so, would you be open to sharing your experience with me? Thank you Susan DeWitt MSN RN CMC

Hello, We have a Home Hospital team and the Case Managers work telephonically. There have been questions about the Important Message. For those of you with Home Hospital services, what is your standard work for delivering the Important Message to ...

An overnight at a SNF skilled is a qualifying stay - it is an extension of the hospital discharge date. If the patient was at the SNF on 4/7 and was skilled (the SNF is billing Medicare) - the patient has had a qualifying stay in the last 30 days based ...

The way I have been told, from my hospital, we do Code 44 a MCare advantage plan if we are going to actively correct their status while they are in the hospital. We do not do a Code 44 if we are changing them to Observation, after they have left, because ...

Advisor here, we treat them as any other denial. We told the staff to alert us of them, and we decide if we want to peer to peer it or not. On the phone, the first few times, I asked them about the awkwardness of "peer to peering" an inpatient-approved ...

OMG. I didn't notice that. It takes a team. Thanks Lisa! Ronald Hirsch, MD, FACP, CHCQM, CHRI R1 RCM Physician Advisory Solutions (Opinions and comments are personal opinions and interpretations and not those of R1 RCM Inc.)

But technically it isn't within 30 days ...it was February, almost 2 months ago. However, it is within the same benefit period without a period out of the hospital for > 60 days. I think this is a CMS loophole.

Great point Ron! ------------------------------ Eileen Sullivan MSN, CMAC, ACM-RN, CCM Revenue Integrity/Denial Mgmt Atlantic Health System, NJ ACMA Learning Link Committee ------------------------------