Readmissions Reimbursement Policy update: facility

 

Beginning with dates of service on or after January 1, 2019, we will include readmissions for psychiatric diagnoses as readmissions that are not be eligible for reimbursement when the readmission is within 30 days from discharge of the original admission for the same, similar or related diagnosis or for a complication arising out of the first admission.  For more information, review the policy dated January 1, 2019 by visiting the Administrative, Billing and Reimbursement Policies page at anthem.com/provider.