Revenue Cycle

Medicare won't pay for hospital mistakes

Patient Access Weekly Advisor, August 22, 2007

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In a move intended to improve the accuracy of Medicare's payment for hospital patients who receive acute care, Medicare announced it will stop paying the costs of what it considers to be preventable conditions, such as falls and objects left in surgical patients.

According to a report from the Associated Press, the announcement will also encourage hospitals to improve quality of care.

"Medicare payments for inpatient services will be more accurate and better reflect the severity of the patient's condition," Herb Kuhn, CMS' acting deputy commissioner, said in a statement.

The rule specifies the following eight conditions:

  • objects left in a patient during surgery;
  • blood incompatibility;
  • air embolism;
  • falls;
  • mediastinitis, an infection after heart surgery;
  • urinary tract infections from using catheters;
  • pressure ulcers; and
  • vascular infections from using catheters.

    CMS said it also would work to add three more conditions to the list next year.



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