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Sep 1, 2024

Hospital Readmission Policy Updated effective 11/1/24

BCBSRI has updated our Hospital Readmission Payment Policy for readmissions to an acute general short-term hospital. This policy is applicable to facilities reimbursed based on a contracted Diagnosis-Related Group (DRG) or case rate methodology. Readmissions determined to be related to the previous admission will not be reimbursed when the patient comes from the same hospital or hospital system for the same, similar, or related diagnosis. This policy update will change from 14 days readmission time frame to 30 days and will go into effective on November 1, 2024. For additional details related to this policy, please click here.