AmeriHealth has established a new policy to address reimbursement for inpatient
hospital readmissions to the same hospital, or a hospital within the same
Health System, within three days of discharge from a previous inpatient
hospital stay and for a condition directly related to the original inpatient
hospital stay. Effective September 1, 2011, Claim Payment Policy
#00.01.47: Inpatient Hospital Readmissions will be applied to all admissions
that are paid on a per-case or per-admission basis.
To view this policy in its entirety, visit www.amerihealth.com/medpolicy and enter the policy
number in the Search box.
If you have any questions regarding this new policy,please contact your Network
Coordinator or Hospital/Ancillary Services Coordinator.