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CMS adds conditions to its no-pay list
Quality Improvement Monitor, September 5, 2008
Hailed by some as a big step forward for patient safety, CMS’ addition of new conditions to its no-pay list has others fretting and several asking: Are these conditions 100% preventable? The federal agency in July released its final inpatient prospective payment system rule and increased the number of conditions it will no longer pay for unless they were documented as present on admission. The rule takes effect October 1 and adds two new conditions:
CMS also expanded its surgical site infection measure and will no longer pay for selected surgical site infections following certain elective procedures, including certain orthopedic surgeries, varicose veins, and bariatric surgery for obesity.
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