Medicare's 72 Hours rule:
The 72-hour rule treats outpatient services the same as inpatient services.
The rule states that all services provided for Medicare patients within 72 hours of the hospital admission are considered to be part of the inpatient services and are to be billed on one claim.
The 72-hour rule is part of Medicare's Prospective Payment System (PPS).
Under the PPS, Medicare pays hospitals a pre-determined rate for each hospital admission.
Clinical information is used to classify each patient into a Diagnosis Related Group (DRG). Such information includes the principal diagnosis, complications and co-morbidities, surgical procedures, age, gender, and discharge disposition of the patient. It is very important for hospital personnel to properly code the diagnoses and procedures, since that information is what determines what DRG Medicare assigns to the patient. Incorrectly coded diagnoses and dramatically effect reimbursement, as rates are determined by the DRG.
Acute care hospitals require the 72-hour rule. Other facilities require the 24-hour rule, such as long-term care hospitals, rehab hospitals, and psychiatric hospitals. Critical access hospitals are excluded from the 72-hour/24-hour provision. Improper coding and billing can cause unnecessary hassles.
Then it is due for this. Since we aim for a greater need to increase efficiency inside the medical offices, many medical practitioners are searching for software that will be able to take care of all of their billing and client needs. Medical Billing Software perhaps is indeed a great tool. Our health is the best wealth we can have.
ReplyDeleteMany of us needs to be treated well in medical institutions and they themselves wants us to be satisfied and be well treated.
I am definitely enjoying your website. You definitely have some great insight and great stories. order real weed online
ReplyDeleteExcellent and very exciting site. Love to watch. Keep Rocking. cannabis standard operating procedures
ReplyDelete