decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 2 (February)
Final word: CMS won’t pay for ‘never events’
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Article Overview
This article summarizes CMS policy action on Medicare coverage for selected preventable surgical errors often referred to as “never events.” It is relevant to billing, coding, compliance, and revenue cycle professionals who need to understand the scope of the coverage change and the related federal guidance context.
Why This Topic Matters
The article explains a CMS coverage policy update that affects how certain claims tied to serious, preventable surgical errors are handled. It matters for organizations tracking Medicare payment policy, patient safety initiatives, and compliance with federal coverage determinations.
What You Will Learn
- The Medicare coverage policy topic addressed by CMS
- The broader patient-safety context behind the policy
- The types of federal guidance referenced by the article
- Where to find the related CMS public resources
Who Should Read This
- Medical coders
- Billing specialists
- Compliance staff
- Revenue cycle professionals
- Hospital administrators
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