Inclusion Criteria:  Adult patients ≥ 18 years old with a diagnosis of cirrhosis based on histology, radiology, and/or elastography Admitted for symptomatic ascites Receiving their outpatient hepatology and/or primary care at MGH Hemodynamically stable during the first 24 hours of hospital admission Must have telephone or internet/wifi access Residing within the designated geographic area for MGH Home Hospital Service  Exclusion Criteria:  Have > grade 1 hepatic encephalopathy The presence of asterixis Have a current diagnosis of hepatic encephalopathy on medical therapy and do not have a caregiver at home Have uncontrolled neuropsychiatric or neurodegenerative illness prohibiting informed consent Are admitted to the intensive care unit Have refractory ascites or are on dialysis Current admission for acute portal vein thrombosis, GI bleeding, or alcohol-related hepatitis Have a history of solid organ transplantation of any organ Reside within a long-term care or rehabilitation facility Undomiciled In police custody Require more than the assistance of one person to reach a bedside commode Require routine administration of controlled substances Those deemed ineligible based on the MGH Home Hospital, inpatient medicine or hepatology clinician evaluation