CMS adds more never events to list of uncovered conditions
Healthcare Auditing Weekly, August 5, 2008
CMS officials announced Thursday the addition of two hospital-acquired conditions (HACs) to its list of conditions Medicare will not pay for.
Prior to this announcement, there were eight HACs Medicare won’t pay for. Now, dangerous blood clots in the leg following a knee or hip-replacement, and complications stemming from poor blood sugar control will not be covered. CMS will include these conditions as part of its final rule for inpatient hospital payments, effective fiscal year 2009, or October 1.
CMS intended to add seven more HACs, like Legionnaire’s disease and ventilator-associated pneumonia, but backed off after protests from the medical community, according to an article from the San Francisco Chronicle.
Private insurers, as well as state Medicaid programs, are following suit by adopting their own HAC policies.
Comments
0 comments on “CMS adds more never events to list of uncovered conditions ”
Related Products
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Compliance Monitor
This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...
-
Medicare Weekly Update
Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...
-
Medicare Update for Physician Services
Medicare Update for Physician Services is a free, monthly e-zine that delivers news and information to help physician...
Most Popular
- Articles
-
- HIPAA Q&A: Level of encryption needed for email
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Q&A: Acute respiratory failure diagnosis does not require intubation
- OB services: Coding inside and outside of the package
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- CMS has reformulated payments for some bilateral procedures
- Oxygen Cylinder Storage Requirements
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Searched