CMS Accreditation Preparation
With Ambulatory Surgery Centers (ASC) facing
more frequent and comprehensive surveys than ever before, ASC
leaders must be more vigilant than ever to understand the
Conditions of Coverage (CfC) handed down by CMS. As importantly, leaders
must understand how CMS interprets them. Keeping current
with these requirements and getting high marks on the surveys
and resurveys are not easy tasks.
Even if you are working with a management
company that is helping you with the business aspects of your
center’s operations, you will likely still need a health care
resource to work with you onsite and help you stay on top of
these compliance requirements—overall to provide the Quality
Assurance and Quality Improvement services you need.
When
you reach out to ASCQS, you can rest assured you will always be
at the ready for a survey, have our assistance at the time of
the survey and when receiving the survey results, and be in
command of your day-to-day medical responsibilities to provide
the optimum in patient care.
Call us to find out how ASCQS can
help.
Specific Ways We Can Help
Prepare organizational goals and
objectives and help develop an action plan that conforms to CMS
requirement
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Help with Life Safety Preparation—an
extremely challenging task since the changes in the life
safety codes were handed down in 2012; our work with AAAHC
positions us well to get your Life Safety Preparation right
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Assist your administration in the
creation/maintenance of your policy and procedural manual
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Schedule weekly conference calls with key
ASC personnel to discuss your action plan, review current
activities, target gap areas and identify steps to mitigate
deficiencies
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Help prepare an agenda and subsequently
minutes for the meeting of you governing body and attend
meetings in person, by phone or via teleconference
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Simulate an onsite survey to determine
your ASC’s readiness for its accreditation survey; Use the
results of this survey to put you through the paces of
benchmarking activities preparatory to meeting regulatory
and accreditation compliance requirements.
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Prepare a response, if necessary, to a
Notice of Deficiency in survey findings
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Provide you with assistance in creating
and implementing your Plan of Correction
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Prepare and submit a monthly report to
your governing body with a summary of current regulatory
issues and apprising them of developments with regulatory
requirements, and a status report on your ASC’s action plan
and activities
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Provide all these services in conjunction
with a management company if you’re using a management
company to assist with your practice management services
