Skip to Main Content
Home > Books > Understanding Patient Safety, 3e >
APPENDIX VIII

APPENDIX VIII: Medicare’s “No Pay for Errors” List*

++

  • Stage III and IV pressure ulcers

  • Fall or trauma resulting in serious injury

  • Vascular catheter-associated infection

  • Catheter-associated urinary tract infection

  • Foreign object retained after surgery

  • Certain surgical site infections (following coronary artery bypass graft, bariatric surgery for obesity, certain orthopedic procedures, implantation of cardiac electronic devices)

  • Iatrogenic pneumothorax with venous catheter placement

  • Air embolism

  • Blood incompatibility

  • Certain manifestations of poor blood sugar control

  • Certain deep vein thromboses or pulmonary embolisms (following certain orthopedic procedures such as total knee replacement and total hip replacement)

++

Source: Centers for Medicare & Medicaid Services.

+
++

*The policy works this way: if under the old payment system an item on this list would have increased the reimbursement for a given hospitalization under Medicare's system of diagnosis-related groups (DRGs), the hospital no longer receives that additional reimbursement under this policy. However, if there are any other so-called “complicating conditions,” the hospital still does receive the higher reimbursement, which mutes the financial impact of the policy. List is current as of August 2015.

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.

This site uses cookies to provide, maintain and improve your experience. MHE Privacy Center Close