Hospital Acquired Conditions (HAC) & Present on Admission (POA) Indicator Reporting

Payment Adjustment for Certain Hospital-Acquired Conditions

Hospital Acquired Conditions
Discharges on or after 10/1/08

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    Healthcare Coding and Documentation 2009 Update

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    Presented by
    Amper’s Healthcare Services Group

    Hospital Acquired Conditions (HAC) & Present on Admission (POA) Indicator Reporting
    • Payment Adjustment for Certain Hospital-Acquired Conditions
      • Hospital Acquired Conditions
        • Are High Cost or High Volume or Both
        • Result in the assignment of a case to a DRG that has a higher payment when present as a secondary diagnosis
        • Could reasonably have been prevented through the application of evidence-based guidelines
      • Discharges on or after 10/1/08
        • IPPS hospitals will not receive additional payment for cases when one of the selected conditions is acquired during hospitalization (i.e. was not present on admission)
        • Case would be paid as though the secondary diagnosis were not present
    • Hospital-Acquired Conditions
      • Foreign Object Retained After Surgery
      • Air Embolism
      • Blood Incompatibility
      • Pressure Ulcer Stages III & IV
      • Falls & Trauma
      • Catheter-Associated Urinary Tract Infection
      • Vascular Catheter-Associated Infection
      • Manifestations of Poor Glycemic Control
      • Surgical Site Infection Following
        • Coronary Artery Bypass Graft (CABG)
        • Orthopedic Procedures
        • Bariatric Surgery
      • Deep Vein Thrombosis & Pulmonary Embolism Following Certain Orthopedic Procedures

    The material contained in this presentation is for general information and should not be acted upon without prior professional consultation.


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