Home Administrative Billing & Reimbursement BlueCard® Health and Wellness Medical PEAR portal Pharmacy Products Quality Management

​​Change to Medicare Advantage Inpatient Hospital Readmission claim payment policy

June 6, 2022

​Effective for dates of service on or after July 1, 2022, we are revising the Inpatient Hospital Readmission policy for Independence Medicare Advantage members. We have simplified the policy to a single set of criteria for readmissions within 30 days of discharge. There will no longer be separate criteria for within 5 days of discharge and within 6-30 days of discharge.

For detailed information, please refer to Claim Payment Policy #MA00.023b: Inpatient Hospital Readmission, which will be published on July 1, 2022.

A Policy Notification was posted on May 19, 2022.


This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of Independence Blue Cross. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.
Connect with us     Facebook     Twitter     Flickr     YouTube     Walk the Talk    Independence Pinterest    Independence LinkedIn    Independence Instagram Site Map        Anti-Fraud        Privacy Policy        Legal        Disclaimer
© 2023 Independence Blue Cross.
Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.