Discharge Date

The Payer issues and controls the Patient’s Discharge Date, reflected on the Patient’s contract. The information is synced from the Payer platform to the Provider platform, when modifications are applied by the Payer.

At times, the Provider may need to change a Patient’s Discharge Date when a Patient is ready for discharge, but the Payer has not modified the information, skewing census count. In these cases, the Provider-modified Discharge Date only appears on the Provider platform (NOT synced to the Payer platform). This also applies if the Provider needs to extend the Discharge Date, with the understanding that those visits may not have authorization from the Payer.

The Discharge Date is initially set by the Payer. Any changes made by the Provider will be overwritten if a Payer makes changes.

Patient Contract Page: Discharge Date

In addition, the system is equipped with a Discharge Date e-billing rule to help catch any discrepancies which may result in claim errors if the Discharge Date (changed by either a Provider or Payer) has elapsed for a visit's Date of Service.