Accreditation

It takes two to tango (or qualify as a hospital)

Briefings on Accreditation and Quality, February 1, 2018

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How CMS and Joint Commission decide what accreditation program to put you in

The difference between being accredited as a hospital or as an outpatient center can mean a difference of thousands of dollars in revenue when billing Medicare. And if you are a smaller, specialty hospital or an outlying facility that is part of a larger health system, be prepared. CMS and other surveyors will be expecting proof that you meet the requirements for being surveyed as a hospital and not as some other type of provider.

The Joint Commission recently issued a statement that a hospital must have at least two active inpatients at the time of either an initial survey or resurvey; if not, the survey—which is required for accreditation and the ability to bill Medicare—will not continue. The accreditor changed its requirements following a newly revised survey-and-certification memo from CMS clarifying how the federal agency defines a hospital, according to the statement.

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