decisionhealth Newsletters, Part B News - 2010 Issue 10 (October)
‘3-day payment window' expansion will hit hospital-owned physician practices
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Article Overview
This article covers a Medicare policy update expanding the hospital three-day payment window and its potential impact on physician practices that are hospital-owned or hospital-operated. It explains the policy in broad terms, discusses the types of services that may be affected, and summarizes CMS’s implementation approach and related compliance considerations for hospitals and practices. The piece is relevant to physician practices, hospital billing teams, compliance staff, and revenue cycle professionals following Medicare inpatient payment rules.
Why This Topic Matters
The expansion may change whether certain outpatient physician and hospital services are paid separately or folded into a hospital inpatient payment. That can affect billing workflows, ownership-structure review, and coordination between physician practices and hospitals.
What You Will Learn
- How the Medicare three-day payment window was expanded
- Which hospital-owned or hospital-operated practices may be affected
- What kinds of services are discussed in connection with the policy change
- How CMS describes the relationship between outpatient services and inpatient admission
- Why ownership structure matters under the Medicare definition
Who Should Read This
- Physician practice administrators
- Hospital billing departments
- Revenue cycle professionals
- Compliance officers
- Medicare reimbursement specialists
- Healthcare attorneys
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