Percentage of Inpatient Admissions Follow Up Tip Sheet

This guide presents the Percentage of Inpatient Admissions with Follow Up Within 14 Calendar Days Tip Sheet, which outlines the CMS Star Rating Program. The program employs a five-star quality rating system to evaluate the experiences of Medicare beneficiaries with their health plans and healthcare systems. Health plans receive ratings from 1 to 5 stars, with 5 indicating the highest quality. These ratings are accessible on the Medicare Plan Finder to enhance care quality and assist consumers in comparing health plans. The measure specifically indicates the percentage of members who have a follow-up appointment within 14 calendar days of inpatient discharge. It describes the eligible member criteria, including exclusions for transfers and deaths during inpatient stays. Additionally, it details eligible follow-up visits and provides strategies for improving follow-up rates, such as encouraging timely visits and addressing barriers to attendance. Coding and documentation tips for claims related to follow-up visits are also included.