Corporate Compliance

AMA members call some CMS no-pay events unrealistic

Compliance Monitor, July 9, 2008

Physicians criticize CMS’s latest list of “never events” in an article on the American Medical Association (AMA) Web site.
In the article, some physicians said it’s unreasonable to believe physicians can prevent certain conditions on the no-pay list, for example urinary catheter infections.
Furthermore, some physicians believe the regulations will divide medical teams if blame for the developed condition is uncertain.
In the article, the AMA suggests CMS require hospitals comply with a set of evidence-based care guidelines. Under that system, if a patient develops a condition even when guidelines are met, payment could still be received for the additional care.
To read the full article click here.


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