POA = CYA
From Today’s Hospitalist:
[T]he Centers for Medicare and Medicaid Services will no longer pay for the treatment costs of certain conditions that the agency deems to be preventable complications-unless physicians document (and billers code) that those conditions were present on admission (POA). Today’s Hospitalist asked several hospitalist programs around the country what they were doing to better capture present-on-admission diagnoses. [emphasis added]
Government policies have a way of creating the opposite of their intended effects. Thus, “never events” will in fact become “always events”. I suspect we will see a rather abrupt increase in pressure ulcers detected on hospital admission.