DecisionHealth, DecisionHealth - 2012 Issue 6 (June)

Prevent overpayments from 3-day rule with delayed claims billing

Don’t wait for your hospital to approach you and coordinate billing for the three-day payment window. Prepare your practice by establishing a clear line of communication with your hospital and holding claims to avoid overpayments. The three-day payment rule, effective July 1, mandates lower reimbursement for providers at practices that are wholly owned or operated by a hospital when a patient is admitted within three days of receiving clinically related services from the practice (PBN 6/18/12).

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