Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

NEBRASKA SPINE HOSPITAL, LLC

NE · Facility ID 280133 · FY2026

Total HAC Score

1.0027

Percentile

93.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital 1.0027

Hospital score 1.0027. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 1 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z 1.003
  • CLABSIN/A
  • CAUTIN/A
  • SSIN/A
  • CDIN/A
  • MRSAN/A

Fragility

Each reported measure moves the score by 1.0000 points (leverage 1.0 — maximal fragility).

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate1.0027-1.48342.51113.9945

Swing is a mechanics illustration: replace one reported Z with that measure’s observed floor or cap while holding others fixed. Ranked by absolute swing.

Peer context

Percentile within NE (24 scored): 93.8th

Score distributionThreshold 0.3792Hospital 1.0027

Hospital score 1.0027. Penalty threshold 0.3792. Distribution of 24 scored hospitals.

Percentile among hospitals with 1 reported measure (182 scored): 82.1th

Score distributionThreshold 0.3792Hospital 1.0027

Hospital score 1.0027. Penalty threshold 0.3792. Distribution of 182 scored hospitals.

Plain-language verdict

As scored, the CMS file lists payment reduction Yes (Total HAC Score 1.0027; threshold 0.3792).

Fragility is maximal: only one measure is reported, so each reported measure moves the score by 1.0000 points (leverage 1.0).

This penalty rests on thin reported data (≤2 measures), so a single measure shift can move status relative to the threshold in a what-if sense — not a CMS prediction.

Describes scoring mechanics only. Not medical or legal advice. Any “would / would not” language is an illustration against the published threshold, not a CMS prediction.

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