Back-Dating IP Orders

Quest ion:

Our URdepartment has posed a question regarding the following scenario for commercial payers A patient is admitted as Observation for one night URcatches the next day that they actually meet IPcriteria and updates them to IPstatus for day two. The patient then discharges the following day.

We are left with a patient with one night of observation and one night of inpatient. Are we legit in changing the initial order of observation to IPfor the entire stay?

Answ er:

Admission orders may be back-dated The admission and date must match the physician's order. While we acknowledge your question in regards to commercial payers, we refer you to the Medicare Beneficiary Policy Manual, Chapter 2: Page 16B Inpatient Order:

The Medicare Conditions of Participation (CoP) -Hospital Inpatient Admission Order and Certification offers almost identical verbiage:

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