Final NCDs Establish Non-Payment Policy
The Centers for Medicare & Medicaid Services (CMS) issued Jan. 15 final decision memos for three national coverage determinations (NCDs) that establish non-payment policies for certain types of surgical “never events.”
The National Quality Forum (NQF) defines never events as errors in medical care that are clearly identifiable, preventable, and serious in their consequences for patients.
The three never events, as identified in the NQF’s list of Serious Reportable Events, and their related NCDs are:
- Wrong surgery performed on a patient (CAG-00401N)
- Surgery on the wrong body part (CAG-00402N)
- Surgery on the wrong patient (CAG-00403N)
Effective immediately, Medicare will no longer reimburse hospitals, physicians or other health care providers for these types of erroneous services or any other related non-covered services. Implementation instructions have not yet been released.
For futher details, read the related Jan. 15 press release on the CMS Web site.