Medicare and Medicaid Will Not Pay for Certain Hospital Caused Injuries and Illnesses 

In an effort to crack down on rising costs associated with or resulting from poor hospital care, Medicare and Medicaid will no longer pay for ten (10) categories of Hospital Acquired Conditions (HAC) - injuries or illnesses which a patient did not have on admission to a hospital. If you, or a family member, acquired one or more of these injuries or illnesses, you or they may have been a victim of malpractice and the hospital may not charge you or Medicare and/or Medicaid for associated care, treatment or service.

1. Foreign Object Retained After Surgery

2. Air Embolism

3. Blood Incompatibility

4. Stage III and IV Pressure Ulcers

5. Falls and Trauma

Fractures

Dislocations

Intracranial Injuries

Crushing Injuries

Burns

Electric Shock

6. Manifestations of Poor Glycemic Control:

Diabetic Ketoacidosis

Nonketotic Hyperosmolar Coma

Hypoglycemic Coma

Secondary Diabetes with Ketoacidosis

Secondary Diabetes with Hyperosmolarity

7. Catheter-Associated Urinary Tract Infection (UTI)

8. Vascular Catheter-Associated Infection

9. Surgical Site Infection Following:

Coronary Artery Bypass Graft (CABG) - Mediastinitis

Bariatric Surgery

Laparoscopic Gastric Bypass

Gastroenterostomy

Laparoscopic Gastric Restrictive Surgery

Orthopedic Procedures

Spine

Neck

Shoulder

Elbow

10. Deep Vein Thrombosis (DVT)/Pulmonary Embolism (PE):

Total Knee Replacement

Hip Replacement