Same Day Transfers

A same day transfer occurs if the beneficiary is admitted to your facility, but later, on the same day they are transferred to a different hospital or distinct part of a hospital. If the day is covered, it is counted for the cost report and Pricer at both hospitals. However, the only day billed for utilization will be on the claim for the later admission. This is to avoid charging the beneficiary twice for the same day. The earlier admission, which is not charged utilization, is recognized by condition code 40 (same day transfer), and the same date entered in the "From" and "Through" dates.

Here is how a claim for a same day transfer should be billed:

  • Same from and thru date for statement dates
  • Non-covered utilization day
  • All covered charges and accommodation unit
  • Condition code 40


Last Updated Mon, 09 Apr 2018 14:35:57 +0000