Effective July 1, 2022, when a member is readmitted within 30 days as part of a planned readmission and placed on a leave of absence, the admissions are considered to be one admission, and only one diagnosis-related group (DRG) will be reimbursed.


For additional information, please review the Inpatient Readmission reimbursement policy at https://providers.anthem.com/ca.


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April 2022 Anthem Blue Cross Provider News - California