Haw. Code R. § 17-1739-71 - Payment for readmission
(a) Readmissions to
the same facility within twenty four hours of discharge for the same spell of
illness and for the same general diagnosis as the original admission shall be
considered to be the same admission and shall be billed as a single stay. The
department may deny full or partial payment for the original inpatient stay or
the subsequent readmission if it is determined that the facility could have
provided all required services during the original inpatient stay. This section
shall not apply in cases where a patient leaves the hospital against medical
advice.
(b) Readmission to the same
facility within thirty days of a previous discharge for a similar diagnosis
shall be subject to utilization review. The department may deny full or partial
payment for the original stay or the subsequent readmission if it is determined
that the facility could have provided all required services during the original
stay. This section shall not apply in cases where a patient leaves the hospital
against medical advice.
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