A client who is enrolled in Medicare and who has been recovering in the hospital from a stroke has developed a pressure ulcer on his coccyx, an event that the Centers for Medicare & Medicaid Services (CMS) has identified as a "never event."
The nurse should recognize what implication of this CMS designation?
A) The hospital must bear any costs incurred for treating the client's ulcer.
B) The hospital will be fined by CMS because the client developed a pressure ulcer.
C) CMS will bear the hospital's costs if the client chooses to sue the hospital.
D) CMS may choose to divert clients to other health care facilities in the future.
Ans: A
Feedback:
If 'never events' occur while a client is hospitalized, the cost of the care associated with that event will not be paid by CMS, but will be borne by the hospital. Fines are not levied against the hospital, however, and CMS does not actively divert clients to other facilities. CMS does not pay damages on behalf of hospitals.
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