Accreditation and Surveys

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October 2025
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Strategies for preparing and surviving a CMS survey

The Centers for Medicare and Medicaid Services (CMS) develops conditions of participation (CoPs) and Conditions for Coverage (CfCs) that healthcare organizations must meet in order to participate in Medicare and Medicaid programs. Payers, including government payers, require facility certification or accreditation for reimbursement. “Reimbursement is the critical piece,” says Becky…

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By: Judith M. Mathias, MA, BS, RN
January 19, 2023
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Accreditation updates from The Joint Commission, CMS

Takeaways Many OR managers said they were overdue for a survey by The Joint Commission because of the pandemic. The Joint Commission is said to be 3,000 surveys behind. More checklists are being used by surveyors, which are available in The Joint Commission’s Perspectives and EC News newsletters. New in…

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By: Judith M. Mathias, MA, BS, RN
December 15, 2022
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CMS quality reporting update for ASCs

A lot has happened with ASC quality measure reporting in the last 2 years, especially this year, says Gina Throneberry, MBA, RN, CNOR, CASC, director, education and clinical affairs, Ambulatory Surgery Center Association (ASCA). Throneberry spoke at the ASCA annual conference in April. In the Centers for Medicare and Medicaid…

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By: Judith M. Mathias, MA, BS, RN
September 27, 2022
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Tips to prepare for AAAHC accreditation

The Accreditation Association for Ambulatory Health Care (AAAHC) has been accrediting ambulatory healthcare facilities, including ambulatory surgery centers (ASCs), for more than 40 years, with some 6,100 accredited organizations. A top philosophy of AAAHC is “1095 Strong,” which emphasizes the importance of integrating quality practices throughout a facility’s 1,095 days…

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By: Judith M. Mathias, MA, BS, RN
July 26, 2022
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