Medicare reimbursement incentive less than effective
Reuters, September 5, 2012
Record-keeping for a patient complication used by Medicare to determine how much hospitals get reimbursed is not comprehensive or accurate, undermining the policy's value, a new study suggests. In an effort to get more for their money, the Centers for Medicare & Medicaid Services (CMS)—as well as some individual insurance companies—don't reimburse hospitals for certain conditions listed on billing records that are costly and believed to be preventable. One such example is urinary tract infections (UTIs) acquired in the hospital as a result of using a urinary catheter.
Most Viewed
Most Emailed
- Primary Care Docs Average More Hospital Revenue Than Specialists
- 69% of Employers Plan to Offer Healthcare Coverage After 2014
- How Chargemaster Data May Affect Hospital Revenue
- House Lawmakers Grill CMS Over Health Exchange Navigators
- ED Physicians Key to Half of Hospital Admissions
- Insurer's App Aims to Lower Healthcare Costs, Securely
- Don't Let Nurses Sink Your Bottom Line
- Q&A: Catholic Health Initiatives' New Senior VP for Capital Finance
- Building a Better Healthcare Board
- Fortunately, Angelina Jolie Isn't On Medicare
