AHA Coding Clinic® for ICD-9 - 2007 Issue 3
Notice
The Present on Admission (POA) Indicator is a data element used to provide information on whether a diagnosis was present at the time of a patient’s admission. Effective October 1, 2007, Medicare will begin to accept a Present on Admission (POA) Indicator for every diagnosis on inpatient acute care hospital claims; however, providers must submit the POA on hospital claims beginning with discharges on or after January 1, 2008. Claims for discharges after April 1, 2008, without POA reporting will be returned to the provider. Critical access hospitals, Maryland waiver hospitals, long-term care hospitals, cancer hospitals...
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Article Overview
This article is a short administrative notice about Medicare Present on Admission (POA) reporting for inpatient acute care hospital claims. It outlines the compliance timeline, identifies facility types that are exempt, and points readers to official guidance and related Medicare resources. It is relevant for hospital coders, billing staff, compliance teams, and others responsible for inpatient claim reporting and policy tracking.
Why This Topic Matters
POA reporting affects inpatient claim submission requirements and may influence whether claims are accepted, returned, or processed under different reporting rules. The notice also highlights that Medicare instructions, official coding guidelines, and state-level requirements may not match exactly, making policy awareness important for compliant reporting.
What You Will Learn
- What POA reporting is generally about
- When Medicare’s POA reporting expectations took effect
- Which facility types are exempt from the Medicare POA requirement
- Where to find related Medicare and official coding guidance
- Why state-specific reporting rules may need separate review
Who Should Read This
- Inpatient hospital coders
- Hospital billing and claims staff
- Revenue cycle personnel
- Compliance officers
- Health information management professionals
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