Health Information Management

News: CMS updates HAC and POA section of Web site

CDI Strategies, October 2, 2008

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CMS recently updated all sections of the Hospital-Acquired Conditions (HAC) and Present on Admission (POA) indicator reporting Web site to describe the changes published in CMS' Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2009 Final Rule.

For discharges occurring on or after October 1, 2008, hospitals will not receive additional payment for cases in which one of the selected conditions was not POA. That is, the case would be paid as though the secondary diagnosis were not present. You can find two examples of how the HAC provision may effect an MS-DRG payment, beginning October 1, 2008, at the CMS Web site.

To view the payment implications for each of the different POA Indicator reporting options, click here to view a table.

To view the 10 categories of HACs, click here.

CMS has required hospitals to report POA information for both primary and secondary diagnoses when submitting claims for discharges on or after October 1, 2007.



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