Policy Updates Reimbursement PoliciesCommercialOctober 1, 2018

Reimbursement Policy Update - Readmissions (Facility)

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

Beginning with dates of service on or after January 1, 2019, Empire 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 empireblue.com/provider > Select “Find Resources in New York” > Provider Home > Answers @ Empire > Reimbursement Policies.