State & FederalMedicare AdvantageSeptember 1, 2021

Reimbursement Policy Update: DRG Inpatient Facility Transfers

Medicare Advantage

 

Policy Update

DRG Inpatient Facility Transfers

Effective 11/30/21

 

Effective 11/30/21, Anthem Blue Cross and Blue Shield claims for 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 anthem.com/medicareprovider under the Facilities dropdown.

 

 

ABSCRNU-0240-21