State & FederalMedicare AdvantageSeptember 1, 2021

Reimbursement policy update - DRG Inpatient Facility Transfers effective November 30, 2021

Effective November 30, 2021, claims for Anthem members who leave against medical advice and are admitted to another acute care facility on the same day are considered transfers and will follow the criteria detailed in the policy.

 

For additional information, please review the DRG Inpatient Facility Transfers reimbursement policy at www.anthem.com/medicareprovider under the Facilities dropdown.

 

ABSCRNU-0240-21