New reimbursement policy update: Inpatient Facility Transfers (Facility) (MAC)
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.
September 2021 Anthem Provider News - Nevada