Learn about the preadmission services window policy
Briefings on Coding Compliance Strategies, September 1, 2008
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.
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.
Comments
0 comments on “Learn about the preadmission services window policy ”
Related Products
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- HIPAA Q&A: Level of encryption needed for email
- Topic: CMS, OESS post new security compliance review information, checklist
- Capturing all necessary codes for IUD insertion and removal can be challenging
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- QA:Coding multiple initial infusions
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- Q&A: Follow CMS' coding guidelines when using modifier -25
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- CMS has reformulated payments for some bilateral procedures
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- ED-to-inpatient transfers are flawed with safety gaps
- Searched