Bundling of Payments for Services Provided to Outpatients Who Later Are Admitted as Inpatients: 3-Day Payment Window Policy and the Impact on Wholly Owned or Wholly Operated Physician Practices
For services on or after January 1, 2012, when a patient is seen in a wholly owned or wholly operated physician practice and is admitted as an inpatient within 3-days (or, in the case of non-IPPS hospitals, 1 day); the 3-day payment window will apply to diagnostic and nondiagnostic services that are clinically related to the reason for the patient’s inpatient admission regardless of whether the inpatient and outpatient diagnoses are the same.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 21, 2011
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