DecisionHealth, DecisionHealth - 2011 Issue 8 (August)

Hospital practices could lose revenue with proposed 3-day requirement

Hospital-affiliated physician practices could see drastically smaller reimbursements for non-diagnostic services rendered to patients who are subsequently admitted to the hospital, according to the 2012 proposed Physician Fee Schedule (PFS). Physicians in practices wholly owned or operated by a hospital be paid at the facility rate, instead of the non-facility rate at which they are currently paid, if their patient is admitted to the hospital within three days of visiting the physician for an issue related to the reason for admission.

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