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U07d2 Reimbursement Reform - Essay Example

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The extremely serious events and the adverse events in the health care industry which could have been prevented are referred to as the ‘Never Events’. This report aims at discussing the specifics of the October 2008 Final Rule implementation about the ‘never events’ and…
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U07d2 Reimbursement Reform
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Download file to see previous pages The National Quality Forum is a nonprofit organization that brings to sight the measurement issues from the health care spectrum (Mattie, 2008). The Centre for Medicaid and Medicare arrived a conclusion that there would not be any reimbursements for the events and this led to a number of debates in the industry.
The main intension of this decision was to help improve the safety of the patients and also to improve the overall quality of the healthcare systems. The intension was that if no reimbursements were to be provided to the hospitals for these errors then there would be more care and attention that is given and thereby better practices in the healthcare. The hospitals were getting paid excessively and the doctors were been seen to become more and more irresponsible and careless. Take for instance, if the doctors made an error and the patient required to go through another treatment for the rectification of the error, the doctor would be paid for both. In order to meet up to the current events in the health care and to ensure that doctors were accountable for their actions, the CMS brought in the initiative and the pay would not be given to the doctors in case of errors (DerGurahian, 2010).
The initiative was followed by the insurers as well and newer and more versions were developed to ensure that the ‘never events’ were not paid for. This initiative has led the hospitals and the health care organizations to work harder to ensure bettered and more responsible behavior from the doctors and all people within the hospitals. There have been several insurers which have also agreed to withhold the payments even if a single error was to be conducted during the procedures. The basic reason why this initiative was taken is one which is very helpful, as if any error or event was to happen and was not supposed to happen, and then it was incorrect for the healthcare to ...Download file to see next pagesRead More
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