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New policy on inpatient hospital readmissions

September 1, 2011

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IBC 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.ibx.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.

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