Inpatient Admission Date

Inpatient Admission Date

1/20/2017

BlueCross BlueShield of South Carolina and BlueChoice HealthPlan of South Carolina require facilities to submit the first day of an inpatient stay as the true admission date. This requirement is in accordance with the Centers for Medicare and Medicaid Services (CMS) National Correct Coding Initiative (NCCI). 
 
The admission date is considered to be the date the patient was admitted as inpatient to the facility. This date should be reported on the UB-04 in the Admission Date field (Form Locator 12). Preoperative and preadmission services associated with the inpatient stay should be reported in the Statement Covers Period field (“From” and “Through” dates in Form Locator 6). 
 
The admission date on claims must match the precertification (prior authorization or preauthorization) in order to apply benefits accurately. If the admission date on the claim doesn’t match the date of the precertification, services may be denied.
 
If you have questions about this bulletin, please contact Provider Education by using the Provider Education Contact Form or by calling 803-264-4730.