307: CMS Surveys: What Can We Learn?  


Anne S. Daly, Corporate Compliance Officer, Ann & Robert H. Lurie Children’s Hospital of Chicago

Barbara Martinson, Senior Director, Ankura Consulting Group, LLC 

David Wright, Director, Survey and Certification Group, Centers for Medicare & Medicaid Services

  • The CMS Survey & Certification Process determines compliance with specific standards and conditions and is crucial to patient care and hospital operations. Compliance is enhanced by collaboration between Compliance, Quality, and Risk Departments
  • Non-compliance with the standards and conditions put patients and our hospitals at risk: Conditions of Participation-Coverage-Payment. Consider materiality, the implied certification theory, and their role in determining false claims, and overpayments
  • Compliance professionals’ analysis of identified deficient standards and conditions can augment and drive continuous improvement

Presentation & handouts

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