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Tier 1payment_policyApprovedev-us-sc-cms-hac

Hospital-Acquired Conditions

Centers for Medicare & Medicaid Services (CMS)

Summary

For discharges occurring on or after 1 October 2008, hospitals receive no additional payment for cases in which a selected condition was not present on admission. The list includes Falls and Trauma, covering fractures, dislocations, intracranial injuries, crushing injuries, burns and other injuries, and Stage III and IV pressure ulcers. Conditions were selected for being high cost or high volume, for assigning a case to a higher-paying DRG when present as a secondary diagnosis, and for being reasonably preventable.

Supporting location Selection criteria and the list of hospital-acquired conditions

Open source

Published

Applicable from

1 Oct 2008

Accessed

2 Sep 2026

Answers depending on this record

No current answer cites this record.