tci Part B Insider - 2011 Issue 42

Medicare's 'Three-Day Payment Window'--Do You Know What It Means?

One of the least publicized changes in the 2012 Medicare Physician Fee Schedule could be one of the costliest if it applies to you. That's the word from Marc Hartstein, deputy director of the Hospital and Ambulatory Policy Group at CMS, who spoke about the "three-day payment window" during the CPT® 2012 Annual Symposium in Chicago on Nov. 16.What it means: If a Medicare patient has services furnished in a facility wholly owned or operated by a hospital and then gets admitted to that hospital within three days, those prior services are bundled into the patient's hospital stay...

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