Medicare reimbursements are programs that physicians and hospitals are given payments for services that they have offered to Medicare beneficiaries. Beneficiaries of Medicare receive services from participating providers within the CMS program who are later reimbursed for services offered ( Harrington, 2016) . The ‘never events’ within the reimbursement program are events that are serious and reportable, but the public perceives such events as adverse occurrences.
According to the CMS the ‘never events’ are the serious conditions that are acquired while a patient is in hospital thus making them non-reimbursable under the CMS program. The reimbursement for ‘never events’ are reduced to encourage hospitals and other health facilities to improve patient safety by implementing the standardized protocol ( Harrington, 2016) . Consequently, the hospitals cannot bill the CMS for reimbursement for services according to beneficiaries who contract the hospital-acquired-conditions. Additionally, the non-reimbursement programs are aimed at improving care quality as well as reducing wasted spending.
Delegate your assignment to our experts and they will do the rest.
The reimbursement rules for ‘never events’ have required a shift in delivering care to inpatients where inpatient facilities have put in place workable models to prevent hospital-acquired-conditions ( Alorbi, 2017) . Given that postoperative infections are more likely to occur, medical facilities are putting in place evidence-based guidelines to reduce such cases. However, it is paramount to make reconsiderations for the numerous hospital-acquired-conditions that are not entirely preventable. Arguably, falls for inpatients may occur even when the concerned inpatient facility is providing the best quality care.
Additionally, health facilities are employing standardized as well as universally followed procedures that reduce incidents of wrong patient and site surgeries. There is a need to use surgical checklists to prevent postoperative infections constantly.
References
Alorbi, G. A. (2017). Essays on hospital reimbursement and quality of healthcare provision .
Harrington, M. K. (2016). Health care finance and the mechanics of insurance and reimbursement .
