BCN reviews inpatient readmissions within 14 days effective Jan. 19, 2017

BCN's partnership with providers is important to us. We listened to your concerns and have decided to reinstate BCN's previous inpatient readmission review guidelines.

Effective Jan. 19, 2017, BCN is reviewing inpatient readmissions as follows:

• BCN reviews readmissions that occur within 14 days of discharge for the same or a related condition.
• Readmission reviews are conducted according to the Guidelines for Bundling Admissions document dated November 2013. That document is now available on BCN's web-DENIS Provider Publications and Resources website.

Readmissions within 30 days of discharge that were reviewed from Oct. 1, 2016, through Jan. 18, 2017, will not be revisited, but we will conduct additional research before implementing any further changes.

We apologize for any confusion that may result from these changes.

You can access the Guidelines for Bundling Admissions document by completing the following steps:

1. Visit bcbsm.com/providers and click Login.
2. Log in as a provider, using your user name and password.
3. Click BCN Provider Publications and Resources.
4. Click Billing / Claims.
5. Click Guidelines for Bundling Admissions.

Posted: March 2017
Line of business: Blue Care Network