Medicare AdvantageAugust 31, 2021
Reimbursement Policy Update: DRG Inpatient Facility Transfers (Effective 11/30/21)
Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.
Effective 11/30/21, Empire BlueCross BlueShield 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 https://www.empireblue.com/provider/policies/reimbursement/ under the Facilities dropdown.
PUBLICATIONS: September 2021 Newsletter
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