Commenting April 12 on a proposed rule to strengthen oversight of accrediting organizations, AHA told the Centers for Medicare & Medicaid Services it supports requiring accrediting organizations to use Medicare’s Conditions of Participation and Conditions for Coverage as their minimum accreditation standards, and to provide an explicit crosswalk of their standards with relevant Medicare regulations. However, AHA recommended that CMS allow accrediting organizations to retain a limited number of “black-out” dates for accreditation surveys and provide same-day notice of the pending arrival of on-site surveyors. It also said CMS should transition to a direct observation approach for validation surveys; modify an “overly punitive” proposal to remove the deemed status of providers following certain validation surveys; clarify when the agency would make survey reports public; and eliminate duplicative complaint surveys.

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A blog by Noah Isserman, AHA director of health insurance and coverage policy, explains why a recent analysis by the Medicare Payment Advisory Commission…
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Medicare Advantage now covers more than half of eligible Medicare beneficiaries, making its impact on hospitals, health systems and patients impossible to…
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The Department of Health and Human Services and the Centers for Medicare & Medicaid Services released a proposed rule June 12 seeking to codify the…
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The Medicare Payment Advisory Commission June 15 released its June report to Congress that estimated the association between Medicare Advantage enrollment and…
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The Centers for Medicare & Medicaid Services June 12 issued a final rule revising how the agency conducts oversight of accrediting organizations that…
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The Department of Health and Human Services Office of Inspector General June 11 released two reports on high rates of coverage denials by Medicare Advantage…