Hospital-Acquired Conditions and Present on Admission Indicator Reporting Provision Fact Sheet — Revised (from CMS)

CMS published a revised Hospital-Acquired Conditions and Present on Admission Indicator Reporting Provision Fact Sheet. Learn about:

  • General reporting requirements, coding, documentation, and billing
  • Exempt hospitals

Background
As required by the Defcit Reduction Act of 2005 (DRA), the HAC-POA Indicator Reporting provision requires a quality adjustment in Medicare Severity-Diagnosis Related Group (MS-DRG) payments for certain HACs. IPPS hospitals must submit POA information on principal and all secondary diagnoses for inpatient discharges on or after October 1, 2007. The HAC-POA payment provision under the DRA is distinct from the HAC Reduction Program mandated by Section 3008 of the 2010 Patient Protection and Affordable Care Act, which authorizes the Centers for Medicare & Medicaid Services (CMS) to make payment adjustments to applicable hospitals based on risk-adjustment quality measures.

Read More

Comments are closed.