10/28/2021
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Posted by Provider Relations
Fidelis Care is committed to continuously improving the experience of our providers. In an effort to increase transparency and simplify the authorization process, Fidelis Care implemented a new Short Stay Inpatient Admission policy for Medicare and Marketplace products, effective December 3rd, 2020. This policy simplified the medical necessity criteria, as the clinical guidelines within this policy apply for all medical and surgical emergency admissions with a length of stay of 2 days or less. To further clarify, Length of Stay (LOS) is calculated in accordance with CMS’ methodology of “days past midnight”; not calendar days.
To view the policy, click here.