Adverse Events

Blue Cross and Blue Shield of Alabama’s Serious Adverse Event policy is an effort to improve the quality of care by reducing or eliminating the occurrence of never events and certain hospital acquired conditions. Blue Cross and Blue Shield of Alabama’s policy was developed based on the Alabama Hospital Association’s Guidance on Adverse Events, the National Quality Forum and the Centers for Medicare and Medicaid Services.

2010 Hospital Tiered Network

• List of Adverse Events
• Hospital Tiered Program Requirements

External Resources

• Alabama Hospital Association
  • Guidance Regarding Adverse Events
• National Quality Forum
  • http://www.qualityforum.org (general site)
• The Centers for Medicare and Medicaid Services
  • http://www.cms.hhs.gov/ (general site)
  • 2008 Measures
  • 2009 Measures

Helpful Resources

• Frequently Asked Questions

Billing Instructions

• Webportal Reporting
• Billing Questions
• Blue Cross and Blue Shield of Alabama Hospital Claims Filing Guidelines - ProviderFacts 2009-001
• Blue Cross and Blue Shield of Alabama Hospital Claims Filing Guidelines - Special Bulletin 2008-17

For additional information, contact your Network Services Representative or e-mail us at networkanalysis@bcbsal.org.