A new facility reimbursement policy titled Newborn Inpatient Stays will be implemented beginning with dates of service on, or after July 1, 2021.


The policy indicates that when the reimbursement is based on the Diagnosis Related Group (DRG), newborn inpatient stays should be billed with the appropriate revenue code to match the corresponding DRG code. If there is no Neonatal Intensive Care Unit (NICU) revenue code listed on the claim, the claim will not group to a sick newborn DRG.


For more information about this policy, visit the Reimbursement Policies page on anthem.com.



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April 2021 Anthem Provider News - Ohio