Crossville Chronicle, Crossville, TN

Area News

September 7, 2010

CMC Medicare agreement under review

The Centers for Medicare and Medicaid Services has given notice its provider agreement with Cumberland Medical Center will be involuntarily terminated Sept. 16.

Recent sexual assault allegations against a radiology technician at CMC triggered a review of CMC care and administrative procedures. According to a statement released by Dr. Barry Wagner, chief executive officer of CMC, "As a physician and a father and a long-time member of this community, I take these charges very seriously. The employee in question has been terminated. I have launched a thorough investigation to fully understand what happened. We will take steps to ensure this will never happen again."

According to a public notice published in the Knoxville News Sentinel Sept. 1, the Centers for Medicare and Medicaid Services had determined CMC is not in compliance with its conditions of participation as a provider of services in the Health Insurance for the Aged and Disabled Program (Medicare). The conditions not met related to patients' rights and the processes needed to make sure those rights are protected.

Wagner's statement said the allegations were serious enough to bring about state and federal reviews of CMC's care and administrative procedures.

"We are working closely and in full cooperation with them," Wagner said. "We have engaged industry experts to assist us in assessing patient safety and fixing it where we may have fallen short."

Wagner said the hospital's formal plan of correction will be submitted to state officials. A review by those authorities is expected to take several weeks.

"I am proud of the care that we provide at CMC — which makes this incident even more disturbing," Wagner said. "It tarnishes the reputation of what has always been a great place to work and receive health care."

According to the notice, the Medicare program will not make payment for inpatient services to patients who are admitted after Sept. 16, 2010. For patients admitted prior to Sept. 16, payment may continue for a maximum of 30 days for services. Payment is specifically limited to covered services through the close of business Oct. 16, 2010.

 

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