THE
SURVEYOR
I FALL 2013
UNDERSTANDING
DEEMED STATUS
By Lisa Meadows, ACHC Clinical Educator for
Home Health, Hospice and Private Duty
Providers wanting to bill Medicare for the services they
offer must first obtain a Medicare provider number. To do so,
an initial Medicare certification survey must be conducted
by either the state authority or through an Accreditation
Organization that has deeming authority granted by the
Centers for Medicare and Medicaid Services (CMS).
For state authorities, these initial Medicare certification
surveys are designated as Tier IV – the lowest priority for survey
scheduling and completion. Often, providers choosing this option
wait several years before receiving an on-site survey. Until the
survey is successfully completed, an organization is unable to bill
Medicare for the services provided.
The solution to expediting this process is to seek accreditation
with a national Accreditation Organization such as ACHC. ACHC
has deeming authority for Home Health, Hospice and DMEPOS
and is able to conduct initial Medicare surveys within 120 days of
receiving your application.
YOUR ACHC EXPERTS!
OUR CONSULTANTS ARE CURRENT AND FORMER
ACHC SURVEYORS WHO KNOW WHAT YOU NEED TO
GET THE JOB DONE!
We are able to help you with your start-up or your ongoing needs:
Mock Surveys, Policy Manuals, Quality Improvement
OASIS Review/Coding Services by Coding-certified RNs
Educational Webinars and much more
During a deemed status survey, ACHC will perform a survey
to determine compliance with the Medicare Conditions of
Participation (CoPs). Home Health and Hospice agencies that
choose a deemed status survey will remain under the jurisdiction
of ACHC for oversight of ongoing compliance.
For Providers Seeking a Medicare Provider
Number:
To ensure you are scheduled for a deemed status survey,
your application should indicate that you are seeking an
initial Medicare survey AND that you are requesting a
deemed status survey.
For Providers with a Medicare Provider Number:
If you wish to seek Medicare recertification through
ACHC, your application should indicate that you are
requesting a deemed status survey.
CONTACT THE CONSULTANTS WHO KNOW WHAT
YOU NEED TO BE COMPLIANT AND SUCCESSFUL!
(866) 428-4040 I www.5starconsultants.net
[email protected]
10
I 855-YES-ACHC (855-937-2242) I
achc.org
For more info on deemed and non-deemed surveys,
please contact your ACHC Accreditation Advisor or
e-mail us at [email protected].