Getting paid: ‘Three-day window’ expansion hits hospital-owned practices

Why This Topic Matters

The update can change whether certain services provided before an inpatient admission are paid separately or bundled into the hospital claim, which affects billing workflow, compliance review, and coordination between hospital and physician practice entities.

Article Sections

1. Expanded three-day window under Medicare

   Introduces the Medicare pre-admission bundling policy update and describes the broad scope of the change affecting hospital-related services around admission.

2. Ownership details are key

   Discusses how hospital ownership or operational control can affect whether services fall within the policy and references CMS and contractor guidance.

3. Official resources

   Lists source documents and external references cited by the article for additional policy background and administrative context.