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Center for Medicare and Medicaid Services: Reimbursement

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Discuss how the CMS reimbursement rules for "never events" required a shift in the patient care delivery model in inpatient facilities.

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The Centers for Medicare and Medicaid Services announced that its final inpatient prospective rule, adding hospital-acquired conditions that will not be reimbursed and provide additional incentives for hospitals to improve care quality. CMS lists eight preventable conditions called "never events" that it will not make additional payments if patients develop them during their hospital stays. CMS identified nine potential categories of conditions that Medicare will no longer pay the extra cost of treating the following categories of conditions that occur while the patient is in the hospital. ...

Solution Summary

The Centers for Medicare and Medicaid Services announced that its final inpatient prospective rule, adding hospital-acquired conditions that will not be reimbursed and provide additional incentives for hospitals to improve care quality. CMS lists eight preventable conditions called "never events" that it will not make additional payments if patients develop them during their hospital stays.

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