The surveyor will assess compliance with all areas under CCN.
CAH must grant immediate access upon a reasonable request or can terminate Medicare.
CAH cannot refuse to permit copying of records or information.
A CAH is required to comply with CoPs to receive Medicare/Medicaid payment.
The surveyor will look at telemedicine contracts.
The surveyor will not withhold areas of concern until the conclusion.
The surveyor cannot touch or examine patients and if concerned about bedsores, bruised, or incontinence
will ask staff to remove or will be present while physical exam is done.
The surveyor may need to make copies of some of the EHRs but will try and not print entire records.
The surveyor may ask what happens if the computer system goes down.
How do you register a patient, transfer, or admit?
How do you order or get lab results?
All team members must review their findings and concerns and be prepared to discuss them during the daily
meeting.
The surveyor will determine if corrective actions make it unlikely for the deficient practice to reoccur.
The surveyor will not delay a survey to wait for additional staff to arrive.
CAH to make sure surveyors have access to copiers.
If CAH uses an EHR or electronic policy and procedures, surveyors will need access to printers.
The surveyors can make an extra copy of every document that surveyors copy.
The surveyor will not provide the hospital with a list of the records reviewed or patients, staff or
visitors they meet.
CAH staff can accompany surveyors, if they do not provide the answers or interject.
