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Hi. My opinion is
that this was a 2-day hospitalization followed by a discharge to the
SNF---admission to the SNF followed by a discharge from the SNF and an admission
to the hospital. I interpret the regulation to apply in special situations
when a person begins their stay at one hospital and then, for a variety of
reasons might transfer to another hospital. But in this situation, the
hospitalization was interrupted by a SNF stay. So I don't believe this
person had a qualifying hospital stay. But you could always call your FI
and ask them how they would interpret the rule.
Thanks,
Winona
Phelps
-----Original Message-----
From: Theresa A Lang [mailto:[EMAIL PROTECTED] Sent: Monday, January 26, 2004 7:28 AM To: [EMAIL PROTECTED] Subject: RE: Medicare? 3 day stay To me this situation would be a 3 day stay- two hospitalization- but look at the quote below- is a readmission to the same hospital any different than a stay in one or more hospitals? Theresa Lang Specialized Medical Services, Inc. 20.1 - Three-Day Prior Hospitalization (Rev. 1, 10-01-03) A3-3131.1, SNF-212.1 The hospital discharge must have occurred on or after the first day of the month in which the individual attained age 65 or, effective July 1, 1973, became entitled to health insurance benefits under the disability or chronic renal disease provisions of the law. The three consecutive calendar days requirement can be met by stays totaling three consecutive days in one or more hospitals. In determining whether the requirement has been met, the day of admission, but not the day of discharge, is counted as a hospital inpatient day.
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