  |
News
Aetna Review of Hospital Acquired Conditions
Recent News
- Aetna Changes Stop Loss Calculations
Published: - Methodist Health System and Jennie Edmundson Hospital
Published: - Floyd Valley Hospital
Published: - City of West Des Moines
Published: - Winneshiek Medical Center
Published: - Spruced-Up Revenue Cycle Precedes Construction Plans
Published: - UNMC Student Plan
Published: - Progressive Swine Technologies
Published: - Christian Brothers Services is New Midlands Choice Payer
Published: - CIGNA Preventive Care Payment Policy Changes
Published: - CIGNA Clinical, Reimbursement and Administrative Policy Updates
Published: - CIGNA Contracts with MedSolutions
Published: - Aetna Electronic Precertification
Published: - Aetna Clinical Payment, Coding and Policy Changes
Published: - New Aetna Precert Requirements Effective July 1
Published: - 5010: Don’t Assume “Someone Else” is Responsible
Published: - New Groups Effective Jan. 1, 2011
Published: - ICD-10 Update
Published: - CIGNA Address Change
Published: - V-Pay Cards
Published: - Include Patient Date of Birth on Claims
Published: - SL Modifiers
Published: - Midlands Choice EDI Contacts
Published: - Aetna Electronic Funds Transfer (EFT)
Published: - Aetna Electronic EOBs
Published: - Aetna Signature Administrators “Cheat Sheet”
Published: - Aetna Alternatives to Paper for When EDI Isn’t Practical
Published: - Aetna Corrected/Voided EDI Claims
Published: - Aetna Clinical Payment, Coding and Policy Changes
Published: - CIGNA Changing Name
Published: - Delegated Payer Claims
Published: - Access to Information During the Credentialing Process
Published: - United Security Life and Health Insurance
Published: - Changing To Online Newsletter
Published: - CIGNA Online Remittance Reports Available in 2011
Published: - Supporting Documentation for CIGNA Electronic Claims
Published: - CIGNA's Use of Modifiers 59 and 25
Published: - CIGNA Code Auditing
Published: - ICD-10 Code Translator
Published: - 5010 Address Requirements
Published: - New Aetna Radiology Preauthorization Requirements
Published: - Great-West Website Has New Look, Upgraded Features
Published: - Aetna Out-of-Network Benefit
Published: - Aetna Offers Multi-Payer Transactions via NaviNet at No Charge
Published: - Changes to 2011 Aetna Precertification List
Published: - Aetna Publishes CT Scan, MRI and Ultrasound Payment Policy
Published: - Mennonite Mutual Aid Announces Name Change
Published: - Paper Claims Must be Typed
Published: - Aetna Review of Hospital Acquired Conditions
Published: - 5010 Preparation Under Way
Published: - News Archives
Effective August 1, 2010, Aetna began reviewing inpatient claims to identify charges incurred due to a Hospital Acquired Condition.
Per diem or room and board charges that extend beyond a patient's expected length of stay that are directly related to the treatment of the acquired condition will not be paid. Patients have no financial responsibility for these charges.
Hospital Acquired Conditions include:
- Unintended retention of a foreign object in a patient after surgery or other procedure.
- Hemolytic reaction due to the administration of ABO/HLA-incompatible blood or blood products.
- Failure to identify and treat hyperbilirubinemia in neonates.
- A burn incurred from any source while being cared for in a health care facility.
- Intravascular air embolism that occurs while being cared for in a health care facility.
- A medication error.
- A fall while being cared for in a health care facility.
- Deep vein thrombosis and pulmonary embolism following certain orthopedic procedures: total knee replacement and hip replacement.
