Study: CMS policy on CLABSI, CAUTI has minimal effect on reimbursement
Editor's Note This study found that the Centers for Medicare & Medicaid Services (CMS) hospital-acquired conditions policy on central line-associated bloodstream infections (CLABSI) and catheter-associated urinary tract infections (CAUTI) had minimal financial effects on hospitals because billing codes for CLABSI and CAUTI were rarely used and there was a significant…
CMS extends deadline for new alternative bundled payment model
Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced that it is extending the deadline for its new alternative bundled payment model from August 1 to August 8, the July 5 Modern Healthcare reports. CMS extended the deadline after receiving complaints from providers and hospitals that they weren’t…
CMS delays release of Hospital Quality Star Ratings
Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced on June 12 that it would postpone the planned July update to its overall Hospital Quality Star Ratings. CMS says the delay will allow time for more analysis of the effects of changes made to some of the measures…
San Diego hospital in ‘Immediate Jeopardy’ for dirty surgical equipment
Editor's Note After a routine survey, the California Department of Public Health (CDPH) declared “Immediate Jeopardy” at UC San Diego’s Hillcrest campus because of cleaning issues with its surgical equipment, the June 8 10News reports. A CDPH report says that deficiencies found included: trays of surgical equipment with brown stains…
Joint Commission: Loss of deemed status must be reported beginning July 1
Editor's Note The Joint Commission on June 6 announced that beginning July 1, it will need to be notified if an accredited organization loses its deemed status after a Centers for Medicare & Medicaid Services (CMS) complaint survey or validation survey. When CMS removes an organization’s deemed status and places…
AHRQ: Decline in HACs saves 8,000 lives, $2.9 billion
Editor's Note National efforts by the Centers for Medicare & Medicaid Services to reduce hospital-acquired conditions (HACs) helped prevent some 8,000 deaths and save $2.9 billion in costs between 2014 and 2016, according to a new report released June 5 by the Agency for Healthcare Research and Quality (AHRQ). Data…
Planning eases compliance with CMS emergency preparedness rules
As of November of 2017, healthcare providers—including ambulatory surgery centers (ASCs)—receiving reimbursement from the Centers for Medicare & Medicaid Services (CMS) were expected to comply with the 2016 Emergency Preparedness Requirements. And as with most government regulations, there are multiple pages of instructions to dissect and understand to satisfy the…
Preventability of early vs late readmissions
Editor's Note Early readmissions (within 7 days of discharge) were more likely to be preventable and amenable to hospital-based interventions, and late readmissions (8 to 30 days after discharge) were less likely to be preventable and more amenable to ambulatory and home-based interventions, this study finds. In this study of…
Release of 2019 ICD-10 codes expected soon
Editor's Note The first look at possible new ICD-10 codes is expected in early May, and anxiety is building, according to the April 24 ICD10monitor. The comment period has passed for providing feedback on the ICD-10-PCS (inpatient procedure coding) codes, and comments for the ICD-10-CM (diagnosis coding) proposals are not…
CMS issues FY 2019 hospital IPPS proposed rule
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on April 24 issued its hospital inpatient prospective payment system (IPPS) proposed rule for FY 2019. The proposed rule increases rates by 1.75%, which reflects the projected market-basket update of 2.8% for hospitals that were meaningful users of electronic health…
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