Traditional MedicareReimbursementMedium impact
Newsletter Vol. 2, No. 40
New Jersey Medicaid·Critical Care·Provider Notice
We identified it
Jun 20, 2026
Summary
This policy update addresses reimbursement methodology and policies for administrative patient days specifically for Medicare certified facilities. The change appears to affect how facilities are reimbursed for days when patients remain in the facility for administrative reasons rather than medical necessity.
Action Required
Billing team should review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=2-40.pdf to understand specific reimbursement changes for administrative patient days. Update billing procedures for Medicare certified facilities accordingly and ensure proper documentation distinguishes between medical necessity days and administrative days.