SLIDE 2 ASDIN 7th Annual Scientific Meeting 2
CMS Requirements for Agencies
Apply for approval of deeming authority Provide CMS with reasonable assurance that the
accreditation organization requires the accredited provider entities to meet requirements that are at provider entities to meet requirements that are at least as stringent as the Medicare conditions through survey activities and application review process
Once approved, reapply for continued approval of
deeming authority every 6 years or sooner as determined by CMS
Fees
Non-Medicare Deemed
Fee determined by
size, type, and range
Medicare Deemed
Fee determined by
size, type, and range
- f services provided by
- f services provided by
the organization
Range $2200.00 to
$6950.00, on-site survey fees plus annual fees
the organization
Range $3100.00 to
$11,225.00, on-site survey fees plus annual fees
Eligibility Requirements Specific to OBS Accreditation
- Open for 6 months or more
- 4 or fewer surgeons (physician,
dentist, podiatrist) performing
- perative or invasive procedures.
OBS practices, including multi-site practices, limited to 4 or fewer licensed independent practitioners
- Invasive procedures provided to
patients
- Local anesthesia, minimal sedation,
conscious sedation, or general anesthesia is administered
- OB practices that render 4 or more
ti t i bl f lf
- No more than 4 physicians
(surgeons) and no more than 2
- perating or procedure rooms, in a
single practice location
- Surgeon owned or operated, e.g.
professional services corporation, private physician office, or small group practice patients incapable of self- preservation at the same time are required to meet the provisions of the Life-Safety Code
The Survey Process
- Create an Accreditation Team including management and physicians to
research, oversee the accreditation process, and create processes to do internal audits and benchmarking
- Research: which agency best fits the facility’s goals and environment
- Set of Standards for OBS and ASC
Patient Rights and Responsibilities Governance or Leadership Personnel Environment Provision of Care Safety Infection Prevention and Control Medical Records Quality Assessment and Improvement
In addition to the accrediting agency standards, Medicare standards also apply for Medicare Deemed status:
A governing body that
assumes full legal responsibility for determining, implementing, and monitoring policies
On-going infection control
program based on nationally recognized IC guidelines designed to prevent, control, and investigate infections and communicable diseases g p governing the facility’s total operation
Develop, implement,
maintain on-going, data- driven quality assessment and improvement program
Disclose to the patient any
physician financial interest or
- wnership in the ASC prior
to the date of the patient’s procedure
Education and Resources
Accrediting agency handbooks and self-
assessment guides
Training programs and workshops Preparation Timeline
