FAQ Directory: HEDIS

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9.15.2016 ED/Observation Visits Resulting in an Inpatient Stay Many measures instruct organizations to not include ED visits or observation visits that result in an inpatient stay. The ED visit or observation visit results in an inpatient stay when the ED/observation date of service and the admission date for the inpatient stay are one calendar day apart or less. May the inpatient admission take place on the day before the ED or the observation visit date?

No. The inpatient stay must be on the same date of service or one day after the ED or observation visit date.

HEDIS 2017