New reimbursement policy update: Inpatient Facility Transfers (Facility) (MAC)

RETRACTION: This policy has been retracted. View the retraction notice published in the December 2021 issue of Provider News.

Material adverse change (MAC)

 

Beginning with dates of service on or after December 1, 2021, Anthem Blue Cross and Blue Shield (Anthem) will implement a new reimbursement policy titled Inpatient Facility Transfers. The policy addresses inpatient transfers from one acute care facility to another acute care facility for the same episode of care. Anthem allows reimbursement for services rendered by both the transferring and the receiving facility. 

 

For more information about this policy, visit the Reimbursement Policies page at anthem.com/provider.

1308-0921-PN-GA