Health Information Management

Learn about the preadmission services window policy

Briefings on Coding Compliance Strategies, September 1, 2008

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Editor’s note: The following article is adapted from the June 18 National Government Services preadmission services window policy teleconference.

The preadmission services window policy answers to many names. Some refer to it as the “DRG window.” Others call it the “72-hour window” or the “three-day rule.” Still others know it as the “24-hour window.” But regardless of what you call it, there are straightforward reporting rules for this policy.

It’s important to recognize when it is appropriate to bill separately for outpatient services that occur prior to an inpatient admission. Familiarity with the policy will ensure that your organization complies with Medicare’s rules. And knowing the ins and outs of the preadmission services window policy will likely decrease claim rejections and improve cash flow.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on Coding Compliance Strategies.

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