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Employed by a Hospital? Beware the New 3-Day Window Rule

By William Maruca

Hospital-owned practices may take an unexpected hit in revenue under a new Medicare rule that bundles certain physician service fees into hospital payments. The so-called 'payment window' rule (sometimes referred to as 3-day/1-day window rule) requires a hospital (or an entity that is wholly owned or wholly operated by the hospital) to include on the claim for a beneficiary's inpatient stay, the diagnoses, procedures, and charges for all outpatient diagnostic services and admission-related read more

Full post as published by Physician Law on October 18, 2010 (boomark / email).