CMS Gaffe Causes Average 0.02% Change to Readmission Penalties

CMS's technical error, which was detailed in a federal notice earlier this week, will cause an average 0.02 percent change in readmission penalties, according to a Kaiser Health News analysis.


In calculating readmissions penalties, CMS incorrectly included claims occurring prior to July 1, 2008 rather than claims occurring between July 1, 2008 and June 30, 2011. The error affects more than 1,422 hospitals that will see higher penalties than previously expected and 55 hospitals that will see lower penalties than previously expected.

Kaiser Health News released a chart outlining the changes to each hospital's previously reported and updated penalties for reporting excessive preventable readmissions. Some of the hospitals that were hit hardest by the penalties include:

•    Wedowee (Ala.) Hospital — 0.09 percent increase to 0.84 percent penalty
•    Crittenden Memorial Hospital in West Memphis, Ark. — 0.07 percent increase to 0.88 percent penalty
•    Chinese Hospital in San Francisco — 0.07 percent increase to 0.72 percent penalty
•    Metropolitan Hospital of Miami — 0.09 percent increase to 0.9 percent penalty

To view the updated readmissions penalties in full, click here.

More Articles on Readmissions:

Achieving Key Quality and Patient Safety Measures of the Affordable Care Act

OIG to Focus on Same-Day Hospital Readmissions, Physician Practice Billing in 2013

CMS Miscalculates Readmissions Rates, More Than 1K Hospitals to Face Higher Penalties

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