decisionhealth Newsletters, Part B News - 2008 Issue 12 (December)
CMS: No payments for ‘Never events' proposed
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Article Overview
This news article covers CMS proposed national coverage determinations related to surgical never events, including wrong-patient, wrong-body-part, and wrong-surgery scenarios. It explains the general policy context, notes the AMA’s objections, and highlights the public comment and final decision timeline. The piece is relevant to coders, compliance staff, revenue cycle professionals, and healthcare administrators monitoring Medicare coverage policy and patient safety initiatives.
Why This Topic Matters
The article signals a Medicare coverage policy proposal that could affect reimbursement handling for certain surgical error events and related compliance processes. It is important for organizations following CMS coverage updates, patient safety policy, and documentation/claims review procedures.
What You Will Learn
- What CMS proposed regarding coverage for surgical never events
- Which broad categories of procedures are affected by the proposal
- How the AMA responded to the proposed coverage approach
- The general comment and final decision timeline for the proposed NCDs
Who Should Read This
- Medical coders
- Compliance professionals
- Revenue cycle staff
- Healthcare administrators
- Physician practices and hospitals
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