CMS Reimbursement Rule for Never Events


Hitherto,never events should indeed not happen in the ideal world. They arereferred as never events because they are adverse reactions that areseverely preventable and are of concern to both the public andhealthcare providers. This event should not occur in hospital and toachieve this, a shift in CMS reimbursement rules of never events isrequired to improve the healthcare delivery model in most hospitalsin inpatient facilities.

For a medical practitioner to enhance the quality of care to thatpatients receive during a hospital stay, Medicare has adopted newsteps and rules to make hospitals more dependable. One way in whichMedicare have shifted CMS reimbursement rule for never events isthrough adoptions of payment policies that encourage hospitals toreduce the probability of certain events that would occur during ahospital stay, and to reduce hospital-acquired conditions. Thisreimbursement policy demands hospitals to discover adverse eventsthat inpatient stay that hypothetically could be forestalled byhospital interventions (FOJP, 2010).

Separately, another aspect in which this CMS reimbursement achievedis through emphasizing the need for hand sanitizing compliance thatshould be free. Similarly, hospitals now encourage accountabilityfrom provider’s complications that occur after a patient isadmitted to the hospital, which links CMS reimbursement to qualityand performance. The Medicare have identified eleven conditions to bepatient safety events that lay serious harm to patients and for thesedevelopments, patients should not be charged directly (Leslie &ampBritanny, 2011).

In conclusion, it is important to mention that CMS reimbursementrules for never events have created awareness of hospital-acquiredconditions, and, therefore, it requires a shift in patient caredelivery to increase healthcare delivery services to the inpatients.


FOJP. (2010). CMS Rules for Hospital Scquired Conditions PoseChallenges and Opportunities. The Quaterly Jpurnal for Health CarePractice and Risk Mnagement, Vol. 131-16.

Leslie, M, &amp Birtanny, C. (2011). Preventing Never Events: WhatFrontline Nurses need to know. Nursing made Incredibly Easy, Vol.9 (1) 44-45.