Same Day Transfers

A same day transfer occurs when a beneficiary is admitted to your facility and is expected to stay overnight, but subsequently transfers to a different facility before midnight.

Same Day Transfer to Participating Hospital

  • Patient is admitted with the expectation they will remain in hospital overnight
  • Transferring hospital is paid based on per diem
  • Both hospitals count the day for cost report and Pricer purposes
  • Receiving hospital charges utilization days

Transferring Hospital Billing Instructions

  • Append condition code 40
  • "Through" and "Admit" dates must be the same
  • Show one non-covered day
  • List charges and units as covered
  • Include an appropriate patient status code

 

Last Updated Mon, 16 Jan 2023 21:12:49 +0000