Preparing For The New Medicare Reimbursement Guidelines: Part II: Documentation Of Altered Skin Integrity In The Hospital

This article was published in Clinical Geriatrics 16:7, p 17-20. 2008.

Medicare recently released new reimbursement guidelines that will deny payment for “preventable” complications that arise during hospitalization.  These include such entities as catheter-related infections, fall-related injuries, transfusion with incompatible blood products, and pressure ulcers.  This is Part II of a two-part series on pressure ulcers and Medicare reimbursement. Part I appeared in the June issue of Clinical Geriatrics and discussed specific factors that Medicare and other insurers may consider when determining whether a pressure ulcer is preventable. 

 

Dr. Jeffrey M. Levine has authored numerous articles on topics related to healthcare of the elderly. These include medical history, prevention and treatment of chronic wounds such as pressure ulcers, elder neglect and abuse, and physical restraints. He has also edited a book on legal and regulatory aspects of nursing homes.