1.    If client had both a hospital stay/discharge and SNF/rehab within the last 14 days, which occurrence code should we be using (61-hospital or 62-SNF/rehab)? Should we be using both or whichever was most recent?

 

2.    If the client (in which the 1st 30 day period is institutional) has a transfer within the 1st 30 days, which occurrence code/dates do we use for the final claim? The occurrence codes and dates from the initial discharge from the hospital before the client transferred to us for homecare or the dates that they discharged from hospital to come back to us? Example: Client is hospitalized and needs homecare. Client discharges from hospital and opens to our Homecare agency. {We know this first 30 day period would be institutional (occurrence code 61) because they discharged from the hospital within the last 14 days.} Now after being open to home care for 8 days, the client is readmitted to the hospital and later discharges back to us for continued Homecare.

Question is: When we submit the final claim for the 1st 30 day period, do we use the occurrence code and dates from the initial hospital discharge or the second one?

 

 

Brittany Schwecke                                  

Accountant

 

Renville County Public Health Services

105 South 5th Street, Suite #119H

Olivia, MN 56277         

 

Direct: 320-523-3721

Public Health : 320-523-2570

Email : brittanys@renvillecountymn.com

Web : www.renvillecountymn.com

 

 

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