Medicare AdvantageMarch 31, 2022
Reimbursement Policy Update: Inpatient Readmissions
Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.
(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/or placed on a leave of absence, the admissions are considered to be one admission and only one DRG will be reimbursed.
For additional information, please review the Inpatient Readmission reimbursement policy at https://www.empireblue.com/medicareprovider.
PUBLICATIONS: April 2022 Newsletter
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