In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured by a ratio, calculated by dividing a hospital’s number of “predicted” 30-day readmissions for heart attack (AMI), heart failure (HF), pneumonia, chronic obstructive pulmonary disease (COPD), hip/knee replacement (THA/TKA), and coronary artery bypass graft surgery (CABG) by the number that would be “expected,” based on an average hospital with similar patients.
|Bureau Code|| |
009:38 - Centers for Medicare and Medicaid Services
|Program Code|| |
009:000 - Department of Health and Human Services - (Primary Program Not Available)