Centers for Medicare and Medicaid Services Imposes Penalty Cap for Hospital Readmissions: Insights on Reimbursement Mandates and Quality Care

According to Centers for Medicare and Medicaid Services reimbursement mandates, what is the penalty cap for readmissions within 30 days? a. 1% b. 2% c. 3% d. 5%

c. 3%

The penalty cap for readmissions within 30 days, according to Centers for Medicare and Medicaid Services reimbursement mandates, is c. 3%. This penalty applies to hospitals that have higher than expected readmission rates for certain conditions such as heart failure, pneumonia, and chronic obstructive pulmonary disease. The penalty is calculated as a percentage of the hospital’s Medicare reimbursement and can be up to 3% for the worst-performing hospitals. This penalty is intended to incentivize hospitals to deliver high-quality care and reduce unnecessary readmissions.

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