Hospital acquired conditions

In the year The Centers for Medicare and Medicaid Services (CMS) have finalized rules that prohibit Medicaid payments for the additional cost of services which result from the preventable healthcare acquired illnesses or injuries, that are generally referred to provider-preventable conditions (PPCs). Basically, there are two distinct categories of PPCs:

1.       Health Care-Acquired Conditions (HCACs)- pertaining to Medicaid inpatient hospital settings

2.       Other Provider-Preventable Conditions (OPPCs)- applying to Medicaid inpatient and outpatient health care settings.

  • Foreign Object Retained After Surgery
  • Air Embolism
  • Blood Incompatibility
  • Stage III and IV Pressure Ulcers
  • Falls and Trauma
  • Manifestations of Poor Glycemic Control
  • Diabetic Ketoacidosis
  • Catheter-Associated Urinary Tract Infection (UTI)
  • Vascular Catheter-Associated Infection
  • Surgical Site Infection, Mediastinitis, Following Coronary Artery Bypass Graft (CABG):
  • Surgical Site Infection Following Bariatric Surgery for Obesity
  • Deep Vein Thrombosis (DVT)/Pulmonary Embolism (PE) Following Certain Orthopedic Procedures:
  • Iatrogenic Pneumothorax with Venous Catheterization

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