When patients are re-admitted to the same facility within a specific timeframe our billing team combines the HARs for both encounters for billing purposes. This is resulting in the record hitting the numerator and denominator twice because it is being counted for both admissions since the 2nd encounter has the coding from the 1st admission included. Wondering if other facilities are seeing this and if there is any way to avoid? There is nothing in the measure specs that address combined HARs.