Post Survey Support Services
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CMS Post Survey Support

Healthcare professionals going through CMS post survey supportHas your psychiatric hospital received an adverse decision following a CMS survey? Did the surveyors find Condition level deficiencies? Did they cite Immediate Jeopardy?

These types of adverse outcomes are increasingly common for psychiatric hospitals. In several regions, we’re seeing an increase in CMS validation surveys following a hospital’s Joint Commission survey. CMS also surveys 100% of complaints they receive. Sometimes, these complaint surveys turn into full CMS surveys.

Immediate Jeopardy

CMS defines Immediate Jeopardy as “a situation in which the provider’s noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident.” When a hospital is advised of an Immediate Jeopardy finding during a CMS survey, it’s critical that the situation causing Immediate Jeopardy be resolved while the surveyors are still onsite.

Medicare Termination

If CMS identifies a Condition level deficiency during survey, CMS will notify the hospital they’re removing deemed status and placing the hospital under State Survey Agency jurisdiction. The next step may be to put the hospital on a 90 day Medicare Termination track. This outcome can potentially lead to the termination of Medicare funding for the hospital which is why CMS post survey support is so important.

CMS Post Survey Consulting: Crafting a Response

Whether it’s an Immediate Jeopardy finding or a 90 day termination track, your CMS post survey response is critical. Time is of the essence. The deficiencies must be resolved to ensure your Medicare funding remains intact.

Our CMS post survey support provides the expertise and technical assistance you need to rapidly and effectively respond to your CMS survey findings. We support you at each step of your post survey response.

CMS Plan of Correction

CMS survey compliance documentWe help you develop your plan of correction to submit to CMS. We know the best approach for structuring plans of correction that CMS will accept. Our team of CMS post survey consultants will make sure you have a plan of correction that’s clear, comprehensive, and addresses every deficiency cited in your CMS report.


CMS Resurvey

Evidence of Compliance

We work with your team to prepare for your CMS resurvey. At this stage, it’s critical for your hospital to show full compliance at time of resurvey.

Our CMS post survey specialists help you develop and organize the evidence you’ll provide to surveyors to show full implementation of your action plan. This includes evidence of:

  • Revisions to policies and procedures
  • Design and redesign of clinical documentation formats
  • Medical record audits
  • Staff education and training
  • Governing body review and approval of these actions

Your benefit: On day 1 of your resurvey, the surveyors get a crystal clear picture of how you’ve implemented your action plan. The evidence is there for them to see and your resurvey is off to a solid start.

Focused CMS Mock Survey

We conduct a focused CMS mock survey to prepare your managers and front line staff for your resurvey. Through our CMS post survey support service, we zero in on the areas cited by CMS and evaluate how well you’ve implemented your action plan.  We coach your staff on how to deal with surveyors and how best to present the patient care they provide.

Your benefit: You get a “dress rehearsal” of what your resurvey will be like. Your staff is confident about showing surveyors all the improvements you’ve made.

Why Choose Barrins & Associates for your CMS Post Survey Support?

We’ve worked with psychiatric hospitals nationwide to address their CMS survey findings and achieve successful results on their CMS resurveys. Our CMS consultants have state-of-the-art knowledge of how CMS conducts resurveys of psychiatric hospitals.

If you’re a psychiatric hospital that’s experienced an adverse CMS decision, you need help from a trusted team of CMS post survey support consultants. Call us at 1-888-742-4621 to discuss your needs or fill out our online contact form.

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Prior Posts

Ensure success on your resurvey and get the benefit of nationally recognized Behavioral Health experts who will review your POC and provide onsite technical assistance.