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welcome to avoiding errors involving the patient discharge status code again my name is Tom Ryan and I am with provider OutdocHub and education today we want to remind you that the information in this program is for informational purposes only many of you are familiar that the Medicare rules laws regulations and other things do change frequently so you want to monitor the CMS website for any changes in anything that may occur we can provide information based on facts giving so if you give me a question and theres information in it and that theres additional things that you didnt say or documentation doesnt support what youre asking us or its given in a different way we can only give you information based on what we had if we dont know it we cant use it but Medicare rules make all final determination so keep that in mind also CMS does prohibit the recording of this presentation for profit making purposes as we stated we will post this to um YouTube as a video as were getting rea