Notice: This CMS-approved document has been submitted - Philips ...

CMS-1403-FC
requiring the provider that failed to prevent the
occurrence of a preventable condition in one setting to pay
for all or part of the necessary follow up care in a second
setting. This would help shield the Medicare program from
inappropriately paying for the downstream effects of a
reasonably preventable condition acquired in the first
setting but treated in the second setting.
We note that we did not propose new Medicare policy in
this discussion of the possible application of the HAC
payment policy for IPPS hospitals to other settings, as
some of these approaches may require new statutory
authority. Instead of proposing policy, we solicited
public comment on the application of the preventable HAC
payment provision for IPPS hospitals to other Medicare
payment systems. We also stated that we look forward to
working with stakeholders in the fight against all
healthcare-associated conditions.
The following is a summary of the comments we received
and our responses.
Comment: Commenters recommended that CMS work with
technical experts, such as physicians and hospitals, to
determine the impact, burden, and accuracy of POA indicator
reporting in the inpatient setting before it is expanded to
other settings of care. Commenters specifically recommended
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