• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

3-day & 72 hour rule

Messages
4
Location
Great Falls, MT
Hello, can someone please help me to better understand the 3-day and 72 hour rule guidelines?
Are they the same guidelines or are they different?
Is there a more simple way or cut and dry way to understand what should be bundled in this time period?
I work for a Hospital that is provider based and I am a biller for Medicare advantage plans. I have read so many different explanations and I still get confused on when to fight to have a claim paid and when should be wrote off as bundled with in the 72 hour or 3-day rule. My department does not have a guideline down and my team mates are not very clear on the process either.
 
Top