Medicare and a Never-Event Involving a Patient Transfer Case

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Medicare and a Never-Event Involving a Patient Transfer Case

Week #7 Application

MMHA-6205: Health Law and Ethics

August 19, 2013

Introduction
Who would have imaged the Centers for Medicare & Medicaid Services’ (CMS) initiative would increase the exposure risk to both physician and health care facility alike because of the term “never events”. Never events are inexcusable medical errors that should never occur; the initial list of 28 events defined as “adverse events that are serious, largely preventable, and of concern to both the public and health care providers for the purpose of public accountability” was compiled by the National Quality Forum in 2001 (Sohn, 2011); pressure ulcers or bedsores was included on the initial list. As for the increased risk exposure for physicians/health care facility, it comes in two forms, the risk of; not being reimbursement by the government and other health care providers; unknowingly file a claim for payment to the government as a result of a never event, as well as; increased medical liability along with the added expense of defensive medicine, which cost the US on average approximately $89 billion per year.
CMS (the Centers for Medicare & Medicaid Services is a federal agency within the US Department of Health and Human Services that administers the Medicare program and works in partnership with state governments to administer Medicaid and other health related insurance programs (Tavenner, 2011)) “never event” to raise awareness of preventable errors that should never have happen and to save the government money by declaring that expenses associated with treating the never event will not be paid for by Medicare or Medicaid (Sohn, 2011).
For physicians/health care facilities, the strict liability standards for reimbursement of never events has led to stricter standards for medical liability along with an…...

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