CMS recently revised its 510-page hospital condition of participation (CoP) manual, also referred to as the State Operations Manual. Any hospital that accepts Medicare payments must be in compliance with the CoP manual.
The Office of Inspector General issued a fraud alert memo recently that says physician compensation arrangements can result in significant liability. This includes hospitals that enter into contract with physicians for medical directorships that do not reflect fair market value.
The Government Accountability Office’s recent 49-page interim report on value-based purchasing programs shows that hospital performance on quality measures was improving before the purchasing program was instituted and has not noticeably changed during its first two years. The report found no apparent shifts in hospital performance trends on quality measures from fiscal years 2013-15.
The CDC issued a Health Alert Network Update on Oct. 2 regarding the requirement that hospitals must verify that any vendors who maintain, clean, disinfect or sterilize reusable medical devices are certified or approved.
Preventing patient falls is always a hot topic, especially at hospitals. A CDC fact sheet says one out of three older persons fall each year and one of every five falls causes a serious injury, such as fractures and head injuries. When patients fall in the hospital, it is not only a patient safety or risk issue but often a financial issue.
Urinary tract infections can involve any part of the urinary tract system, including the bladder, ureters, urethra, or kidneys. Most UTIs (75%) are associated with a Foley catheter or an indwelling catheter.
A federal court issued its first court opinion on Aug. 3 that interprets the False Claims Act’s requirement that overpayments be made within 60 days. This provision was enacted in 2010 by the Affordable Care Act. Previously, no court had made any rulings on this and CMS had not issued a memo or final regulations that could help hospitals or healthcare facilities interpret the rule.