Policy Update: Inpatient Readmissions

Medicare Advantage

 

(Policy G-13001, effective 07/01/22)

 

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://www.anthem.com/medicareprovider.

 

ABSCRNU-0301-21