WebAbout the Hospital Readmissions Reduction Program. The Hospital Readmissions Reduction Program (HRRP) is a Medicare value-based purchasing program that reduces payments to hospitals with excess readmissions. The program supports the Centers for Medicare & Medicaid Services’ (CMS’) goal of improving health care for Americans by … WebDischarged/transferred to a Medicare certified long term care hospital (LTCH) with a planned acute care hospital inpatient readmission (effective 10/1/13) 92: Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare with a planned acute care hospital inpatient readmission (effective 10/1/13) 93
Patient Discharge Status Codes - JE Part A - Noridian
Weba. Planned unrelated readmissions when the readmission occurs less than 31 calendar days from the date of the discharge from the same facility. 6 (Please also see definition of Planned Readmission) Examples: i. Planned admission for lung volume reduction surgery after a motor vehicle accide nt admission for loss of consciousness. ii. WebPolicy Manual, CCI table edits and other CMS guidelines. Claims are subject to the code edit protocols for services/procedures billed. Claim submissions ... it is understood that other readmissions are planned or are not preventable. The Plan will review claims for hospital readmissionsoccurring within thirty (30) days, or the over the door windows
Clinical Payment and Coding Policy 027 - Inpatient …
http://qualitynet.cms.gov/inpatient/hrrp WebGuidelines for Data Collection . And Submission on . Readmission Rates Indicator ... all-cause 30-day unplanned readmission rate for Medicare patients aged 65 years and older discharged from the hospital with: a) any eligible condition, i.e., hospital-wide ... Excludes planned readmissions, which are intentional readmissions within 30 days of ... WebReadmissions for planned procedures (as measured by our planned procedures algorithm, described in Section 2, Detailed Measure Specifications, below) and for chemotherapy are part of a patient’s intended course of care and thus unlikely to … over the door washcloth holder