With the release of the 2011 IPPS final rule on July 30 comes a number of changes that providers will need to have a handle on in regard to the three-day payment window.
The three-day rule states that all diagnostic services provided three calendar days before the calendar day on which the patient is admitted, are bundled and paid as part of the inpatient stay. Non-diagnostic services on the day of and for three days before an admission will now also be considered part of the admission.
Operationally, hospitals have had problems following the three-day payment window rule for years. Hospitals that are scrambling to adapt while trying understand the ramifications of the rule should consider the following list of tips and pitfalls to avoid: