News
Newborn Inpatient Stays
Fecha: 20/11/24
Thank you for your continued partnership with Ambetter of Illinois. As you know, we are committed to continuously evaluating and improving overall Payment Integrity solutions as required by State and Federal governing entities. We are writing today to inform you of a new policy that Ambetter of Illinois will be implementing effective on or after 1/1/2025.
| Policy Number | CC.PP.075 |
|---|---|
| Policy Name | Newborn Inpatient Stays |
| Line of Business Impacted Marketplace | Marketplace |
| EX Code | EXhn (Retain Pay): Healthy Newborn Claim paid per policy, remit records for reconsideration. |
| Description | Description Review claims for coding appropriateness when normal newborn stays with non-NICU revenue codes are billed. |
Thank you for your continued participation and cooperation in our ongoing efforts to render quality health care to our members. We look forward to helping you provide the highest quality of care for our members.