Accreditation

CMS to stop paying for eight adverse events

Briefings on Accreditation and Quality, November 1, 2007

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Editor's note: Sue Dill-Calloway, RN, MSN, JD, director of hospital risk management for OHIC Insurance Company, The Doctor's Company, in Columbus, OH, is the CMS corner lead contributor. Submit a topic idea to her by contacting BOJ editor Matt Phillion at mphillion@hcpro.com. CMS has announced it will no longer pay for certain adverse events not documented on admission. This decision, which has stirred up significant debate in the healthcare community, highlights the importance of making sure patient assessment sheets reflect these events and conditions and that staff members, billers, and coders are educated about these new regulations. Many hospitals have put together teams to look at each adverse event and implement safety practices. These conditions are pressure ulcers, vascular catheter-associated infections, surgical site infection (mediastinitis after coronary artery bypass graft surgery), patient falls, objects left in after surgery (needles, sponges, etc.), air embolism, blood incompatibility, and catheter-associated urinary tract infection.

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