Problem: The discrepancy in reporting arises from how the same-day transfer is counted. The nursing staff reported 17 inpatient service days, likely counting only those patients who stayed the entire day. However, the HIM director counted 18, including the patient who was admitted and then transferred on the same day. In inpatient service days calculations, even if a patient is transferred on the same day of admission, they typically count as a service day because they occupied a bed and received services. Thus, the HIM director is correct to count 18 inpatient service days, aligning with standard practice. Paraphrase in lame terms. Need Assignment Help?