The Center for Medicare and Medicaid (CMS) Reimbursement Rules Essay

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The Center for Medicare and Medicaid (CMS) Reimbursement Rules Essay

The Center for Medicare and Medicaid (CMS) Reimbursement Rules Essay

The Center for Medicare and Medicaid (CMS) reimbursement rules establish payment rules related to health conditions happening during the hospital stay that are not present upon admission. These conditions are generally known under the terms “never events” (Stone, W., P.; Glied, A., S.; McNair, D.,P.; Matthes, N.; Cohen, B., Landers, F.; T.; & Larson, L., E.

(2010).

This policy addresses preventable health conditions such as infections, inpatient morbidity and mortality. Regulations resulting from CMS policy reject payment for the previously mentioned conditions. The Center for Medicare and Medicaid (CMS) Reimbursement Rules Essay Papers.

The particularity of this policy is that it brings a shift in the patient care delivery model in inpatient facilities. Notably, physicians, healthcare management, and other inpatients interested parties carry the risk of becoming liable of any person providing inpatient care. With liability risk for inpatient care delivery, physicians are become more careful while they are performing any types of medical interventions on patients. They are compelled to be attentive in monitoring patients’ health conditions.

The innovative and intended goal of this shift is to improve the quality of care received during a hospital stay. Particularly, CMS policy is targeted at averting hospital-acquired conditions.The Center for Medicare and Medicaid (CMS) Reimbursement Rules Essay Papers.