Inpatient Readmissions Policy Update

Please note, this communication applies to Healthy Blue + MedicareSM (HMO D-SNP) offered by Blue Cross and Blue Shield of North Carolina.

Effective July 1, 2022, when a member is readmitted within 30 days as part of a planned readmission and/or placed on a leave of absence, the admissions are considered to be one admission, and only one diagnosis-related group (DRG) will be reimbursed. 

For additional information, please review the Inpatient Readmission reimbursement policy at https://www.bluecrossnc.com/providers/blue-medicare-providers/healthy-blue-medicare.