The Medical Group Management Association is asking the Centers for Medicare and Medicaid Services to rescind its new “three-day rule” for Medicare payment of certain physician services.
These are services given within a hospital-wholly owned or operated physician practice within three days prior to an inpatient admission and related to the admission. Under the rule, hospitals must notify the practices of such admissions. The practices would include a modified code on claims for treatment during the three days prior to admission and the claims would be paid at a lower rate.
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