Readmission within 30 days denial
Is there any condition code or process you can perform on a corrected claim to show that an Inpatient readmission within 30 days is not related to the previous Inpatient claim? If they are discharged and re-admitted on the same day you can use the Condition code B4 Admission Unrelated to Discharge on Same Day but I can't find anything to help refute this readmission is related and therefore should be paid appropriately two separate MS-DRGS and the statistic also not counted against the hospital's re-admission rate. Can someone help me find the appropriate workflows and official guidance for these situations of readmission within 30 days?
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