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Newsletter Vol. 23, No.07
New Jersey Medicaid·NJ · General Surgery, Orthopedics, Cardiology +1 more·Provider Notice
We identified it
Jun 20, 2026
Summary
New requirements for Present on Admission (POA) indicators and Healthcare Acquired Condition (HAC) reporting on inpatient claims have been revised. This affects how hospitals and facilities must document and report conditions that were present when patients were admitted versus those acquired during the hospital stay.
Action Required
Immediately: Billing team and clinical documentation staff must review the revised POA indicator requirements in Newsletter Vol. 23, No.07. Update inpatient billing workflows to ensure proper POA indicator assignment (Y, N, U, W, 1) for all diagnosis codes. Train coders on new HAC reporting requirements. Verify billing system compliance with updated POA rules to prevent claim denials and HAC payment penalties.