Friday, June 7, 2013

CMS encourages less hospital readmissions with hip and knee surgery

The Centers for Medicare and Medicaid have proposed a reduction of reimbursement for a hospital readmission occurring within 30 days of an elective hip or knee arthroplasty surgery. 
This rule could go in to effect on October 1, 2013. 

Hospital readmissions are no longer an accepted part of the health care delivery system.  Medicare and private insurance payers have embraced policy that allows for planned readmissions.  The ruling now reads hospital admissions for acute illness and complications of care are never planned. 

Upon fiscal review hip and knee surgeries have been identified to have the largest procedural expense in the Medicare budget.  Over sight includes establishing legislation designed to move the hospital industry toward a practice that reduces hospital readmissions for scheduled knee and hip surgery.

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