tci Medicare Compliance & Reimbursement - 2008 Issue 17

Industry Notes: CMS Adds To List Of 'Never Events'

Plus: Florida radiologist fined $7 million Get ready for nine new "never events," if CMS gets its way. Last year, CMS issued a list of services that Medicare will consider non-payable beginning in October, including surgeries to retrieve objects that the surgeon accidentally left behind during a procedure, as well as seven additional so-called "never events." CMS will require hospitals to disclose whether the patient had these eight conditions upon admission. If not, Medicare will not reimburse hospitals for these conditions because they were acquired during the hospital stay. CMS says that the halt in reimbursement will...

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