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UMMC loses Medicare contract after regulators report ‘substandard’ care

Share this…FacebookPinterestTwitterLinkedin CMS has terminated Houston-based United Memorial Medical Middle’s Medicare contract, efficient Jan. 11, after failing to satisfy sure…

By Staff , in Medicare , at January 13, 2022



CMS has terminated Houston-based United Memorial Medical Middle’s Medicare contract, efficient Jan. 11, after failing to satisfy sure well being and security requirements, a CMS spokesperson advised Becker’s on Jan. 12.

The hospital had 4 surveys between Jan. 8 and Sept. 10, 2021, wherein the federal regulators discovered “substandard” high quality of care, in keeping with the spokesperson. 

CMS notified the hospital in November 2021 that the Medicare contract can be terminated Dec. 11 however prolonged the deadline to Jan. 11 with a pending follow-up inspection, partially due to a current surge in COVID-19 instances.

The follow-up inspection occurred Dec. 17-21, the CMS spokesperson mentioned. After discovering that the power failed to satisfy sure high quality requirements, CMS despatched UMMC an involuntary termination letter Jan. 10.

“CMS has decided that United Memorial Medical Middle not meets the necessities for participation within the Medicare program primarily based on its noncompliance with Medicare Circumstances of Participation and the Emergency Medical Therapy and Labor Act, together with noncompliance that represents an instantaneous jeopardy to affected person well being and security,” the letter mentioned.

As of Jan. 11, CMS isn’t paying for newly admitted sufferers. Moreover, 30 days after Jan. 11, it’ll cease paying for hospital companies offered to Medicare and Medicaid beneficiaries, the spokesperson mentioned.

UMMC is interesting the choice and filed for an emergency waiver to obtain Medicare reimbursement throughout the COVID-19 pandemic, a UMMC spokesperson advised the Houston Chronicle. The hospital will nonetheless see Medicare sufferers within the meantime with out being reimbursed, the spokesperson mentioned. 

UMMC didn’t reply to Becker’s request for remark by the point of publication.





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