Georgia Medicaid and our dr would be seeing the patient in the ER at which time he would do his H&P and just say it was 11:30 pm Monday. Later the patient becomes an inpatient and it is now Tuesday. The hospital gets their precert starting Tuesday. Our drs are hospitalists so we get all our info from hospital. If we bill a charge for er then our dr loses money as opposed to if it were IP which it really was cause he did his H&P. ????????????????? Thanks for your help.