Consider these examples: An elderly patient who is transmitted for a cardiac catheter procedure. This procedure is often performed in an outpatient setting, but the patient`s age and overall health may require hospitalization. In this scenario, the hospital must encode the highest level of feeding, known at the time of 02, because hospitalization is eagerly awaited. A patient is discharged to receive outpatient oncology services in an emergency facility specializing in oncology. This patient goes for outpatient services and the claim must therefore be encoded at a 01. Discharge code 01 is not affected by the transfer policy and the hospital is entitled to full DRG. So if I can use an example of the patient who has had heart problems, and they discover that the patient needs cardio, and that the current facility does not have cardiac procedures that are often available for that patient, it is coded as O2, because the patient`s age, the patient`s condition, make the hospital believe that he is admitted to the facility. But the patient goes to the reception center, and he has cardio, and the patient does it well, and he goes home. In this scenario, the O2 is not appropriate. This should be a code for granting the discharge of O1. Once the patient is stable, you have the right to pass on this patient and take into account the necessary care to the patient as soon as he is stabilized. And if the additional treatment is not available in your facility, you can pass on this patient and turn it into an O2.
But if the patient is not stable, you must keep him. Mary: I want to emphasize that the intent of the patient`s discharge code is really to identify where the patient will end up when he or she leaves the hospital, whether it is outpatient work or if it is additional hospital training. Mary: You know, I think the biggest mistake hospitals have when they use an O2 unloading code, they forget that the O2 is a stationary service. So the patient is in a hospital. They`ve been registered. And for whatever reason, the patient will be transferred to another emergency station. Although Medicare`s stationary transfer policy and its own policy of transferring from hospital to hospital from the provider are well understood, there is still a margin of error due to the unknown post-exit status, as indicated in these scenarios. A patient is taken to the hospital for a cardiac catheter. The claim is coded at 02 and the patient is not admitted.
The hospital will receive the dietary payment by mistake.