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
Hospital-Acquired Conditions
• Foreign Object Retained After Surgery
• Air Embolism
• Blood Incompatibility
• Pressure Ulcer Stages III & IV
• Falls & Trauma
Healthcare Services
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Presented by
Amper’s Healthcare Services Group
- 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
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