Accreditation surveys are an integral part of our modern health care system for providing care that is recognized as safe and of high value. Hospitals that desire to participate in Medicare or Medicaid must comply with federal “Conditions of Participation” standards (§482), which CMS usually enforces by allowing entities to conduct accreditation surveys on its behalf; though under certain circumstances, CMS conducts surveys itself (this will be discussed later) (asamonitor.pub/3CMBwBK). These entities include national accrediting organizations (AO) such as The Joint Commission (TJC), DNV, and ACHC, to name a few (asamonitor.pub/2YfqTby). Approximately 3% of the time, a state agency is tasked with performing a validation survey within 60 days of the AO visit in order to ensure accuracy of the AO's findings. As a result, these AOs are recognized by CMS for enforcing standards equal to those expected by the federal government, and as such have...

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