Health Information Management

Reduce unnecessary one-day lengths of stay

Briefings on Coding Compliance Strategies, March 1, 2008

As the Office of Inspector General (OIG) continues to crack down on medically unnecessary one-day lengths of stay, it's more important than ever to ensure that staff members understand what constitutes an appropriate inpatient admission. Consider the following all-too-familiar scenario for many hospitals: A patient presents to the ER after normal business hours with syncope and collapses. In an attempt to determine the origin of the syncope, a physician admits the patient. The physician then determines that the patient's syncope is noncardiac in origin and releases the patient the next day. A case manager receives the case the next day, but by this time, it is too late to notify the physician that the patient did not meet inpatient admission criteria.

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