Comments on: The 72-Hour Rule and Medicare: What You Need to Know http://medicare-medicaid.com/medicare/the-72-hour-rule-and-medicare-what-you-need-to-know/ Medicare & Medicaid Information Mon, 30 Nov 2009 19:03:43 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: ANGELA MOUZON http://medicare-medicaid.com/medicare/the-72-hour-rule-and-medicare-what-you-need-to-know/comment-page-1/#comment-5154 ANGELA MOUZON Thu, 26 Mar 2009 18:56:10 +0000 http://medicare-medicaid.com/medicare/the-72-hour-rule-and-medicare-what-you-need-to-know/#comment-5154 With a recur acct (therapy): If you have a op surgery acct for example 03/06/2009 and the pt also had therapy on the recur acct for 03/06/2009 how do you bill? Do you put a 74 span code on the therapy acct along with dos and bill both accts separately? With a recur acct (therapy): If you have a op surgery acct for example 03/06/2009 and the pt also had therapy on the recur acct for 03/06/2009 how do you bill?

Do you put a 74 span code on the therapy acct along with dos and bill both accts separately?

]]> By: Catherine Egan http://medicare-medicaid.com/medicare/the-72-hour-rule-and-medicare-what-you-need-to-know/comment-page-1/#comment-1080 Catherine Egan Tue, 27 Nov 2007 22:15:33 +0000 http://medicare-medicaid.com/medicare/the-72-hour-rule-and-medicare-what-you-need-to-know/#comment-1080 Can you help me apply this 72 hour rule correctly. My inpatient admission is DRG 121. Patient had an acute subendocardial MI as well as many secondary comorbidities one of which is ESRD, the patient is on dialysis maintenance. My outpatient encounter which occurred previous to admission but within the 72 hours was for a complication of the dialysis catheter requiring angioplasty. My question is-Should this be combined on one claim and regrouped to the new DRG to include the angioplasty procedure? OR these are not considered diagnostic procedures so this rule would not apply OR These conditions are not related to each other and this rule would not apply? Your help is greatly appreciated, Cathy Egan Can you help me apply this 72 hour rule correctly. My inpatient admission is DRG 121. Patient had an acute subendocardial MI as well as many secondary comorbidities one of which is ESRD, the patient is on dialysis maintenance. My outpatient encounter which occurred previous to admission but within the 72 hours was for a complication of the dialysis catheter requiring angioplasty.

My question is-Should this be combined on one claim and regrouped to the new DRG to include the angioplasty procedure? OR these are not considered diagnostic procedures so this rule would not apply OR These conditions are not related to each other and this rule would not apply?

Your help is greatly appreciated,
Cathy Egan

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