Hospital-Acquired Conditions (HAC) in Acute Inpatient Prospective Payment System (IPPS) Hospitals
October 24, 2014
The Deficit Reduction Act of 2005 (DRA) requires a quality adjustment in Medicare Severity Diagnosis Related Group (MS-DRG) payments for certain hospital-acquired conditions. CMS has titled the provision “Hospital-Acquired Conditions and Present on Admission Indicator Reporting” (HAC & POA).
Read more about it here:
Medicare learning network fact sheet, ICN 901045 October 2012
The Hospital-Acquired Conditions payment provision applies only to IPPS hospitals. At this time, the following hospitals are EXEMPT from the HAC payment provision:
Critical Access Hospitals (CAHs),
Long-Term Care Hospitals (LTCHs),
Maryland Waiver Hospitals,
Cancer Hospitals, Children’s Inpatient Facilities,
Rural Health Clinics,
Federally Qualified Health Centers (FQHCs),
Religious Non-Medical Health Care Institutions,
Inpatient Psychiatric Hospitals,
Inpatient Rehabilitation Facilities (IRFs), and
Veterans Administration/Department of
More Items in October 2014 Oct 30, 2014 ICD-10-CM Did you know... What are GEMs? Oct 24, 2014 Is it Required to Pay 2% on Incentive Payments Earned for 2013? Oct 24, 2014 DMEPOS HCPCS Jurisdiction List Oct 24, 2014 ICD-10 TIP of the MONTH: The Documentation of Procedures Oct 24, 2014 Incarcerated Beneficiary Update - CMS Oct 24, 2014 Patient Discharge Status Codes and Hospital Transfer Policies - Clarification Oct 24, 2014 CMS Announces 2013 eRx Incentive Program Payments are Now Available Oct 24, 2014 Clarification of Equipment and Approach in Coding Oct 15, 2014 New: 2014 October Edition of the Medicare Quarterly Provider Compliance Newsletter Oct 13, 2014 CMS announces re-opening MU applications until November 30, 2014 Oct 13, 2014 PQRS - 2nd Quarter Interim Feedback Dashboard Reports Now Available Oct 13, 2014 Claims Processing and the Remittance Advice Oct 09, 2014 CMS Transitioning to ICD-10. Register Now! Oct 09, 2014 Effective Billing Dates for new CMS Providers Oct 06, 2014 OSHA- Hazard Communication Standard Final Rule (Globally Harmonized System) Oct 02, 2014 ICD-10 and Clinical Documentation CME/CE Oct 02, 2014 Healthcare Fraud Investigations in FY 2013 Oct 02, 2014 Healthcare Fraud Investigations in FY 2013 Oct 01, 2014 NCCI 20.3 Analysis - by Frank Cohen Oct 01, 2014 Patient Electronic Access Tipsheet - Measure Compliance Oct 01, 2014 Virtual Credit Cards -A new trend in trying to keep up with E-Health Oct 01, 2014 HHS Announces $99 Million in New Grants to Improve Mental Health Services for Young People
To view more items select a month from our "
Items by Month" list.
view documentation, coding and billing articles.
The ideal length of a webinar should be around:
News Items by Month