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Error JV

Medium Urgency

NICU Re-admission Billing Rule

For a NICU re-admission after 48 hours, you must bill a 'second day' fee, not a subsequent day fee.

Official Description: When a patient is admitted to NICU after 48 hours, second day rates will apply again (01521, 01522, 01523).

How to Fix It

Follow these steps in order to resolve the error.

  1. Review the patient's hospital chart to confirm the exact date and time of the initial NICU discharge and the subsequent re-admission.
  2. Calculate the time elapsed between the discharge and re-admission. Determine if it is more than 48 hours.
  3. If more than 48 hours passed, the service date for the re-admission must be billed with a 'second day' NICU fee item (01521, 01522, or 01523), depending on the level of care.
  4. Correct the fee item on the rejected claim. Replace the 'subsequent day' fee item with the appropriate 'second day' fee item.
  5. Resubmit the corrected claim to Teleplan.
  6. If you believe the claim was submitted correctly or this rule does not apply, contact the Teleplan Data Centre (604-683-7151) for further clarification.

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