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Calculating the frequency of serious reportable adverse events and hospital-acquired conditions

✍ Scribed by Robert F. Bunting Jr.


Publisher
Wiley (John Wiley & Sons)
Year
2010
Tongue
English
Weight
484 KB
Volume
30
Category
Article
ISSN
1074-4797

No coin nor oath required. For personal study only.

✦ Synopsis


Abstract

The Centers for Medicare and Medicaid Services (CMS) mandated that Medicare Advantage Organizations (MAOs) begin reporting the number of serious reportable adverse events and hospital‐acquired conditions received on Medicare claims. There are additional state mandates and health insurance plan requirements. The author provides an analysis of the reporting methodology and proposes an alternative approach using rate‐based formulas that would yield information that is more useful.