Resources for CMS/Hospital
Acquired Conditions
 

The Centers for Medicare & Medicaid (CMS) may refuse to reimburse hospitals for complications sustained during hospital treatment by Medicare beneficiaries. CMS has published a list of conditions - or events - considered to be "reasonably preventable" during a hospital stay and for which Medicare may refuse payment.  

DRGs which include complication codes must have supporting documentation that the complication was present when the patient was admitted (POA). If it is determined that the complication was as a result of hospital error/mistake, the cost of care related to that complication will not be reimbursed. Aside from reimbursement concerns, Joint Commission Resources believes these conditions represent opportunities to improve the quality and safety of patient care.  To this end,  JCR has organized articles containting tools, resources and tips and other products to help support your organization with the new rules.

Visit each HAC page listed to the right for these resources.
 

HAC Resources:

• Catheter-associated urinary tract infections
• Pressure Ulcers stage III & IV decubitis ulcers
• Blood Imcompatibility
• Surgical Site Infections
• Hospital Acquired Injuries
• Deep Vein Thrombosis
• Manifestations of Glycemic Control