CMS Compliance Training
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CMS Compliance Training

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Are you looking for the best way to prepare your organization for your next CMS survey? Barrins & Associates is a recognized expert in the behavioral healthcare industry and has developed proven services to help organizations achieve successful CMS survey outcomes, no matter what type of survey you might be experiencing.


The Center for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs) apply to all psychiatric hospitals with deemed status for Medicare Funding.

These CoPs include both the A Tags (applicable to all hospitals) and the B Tags (applicable only to psychiatric hospitals.) A clear understanding of the CMS CoPs is critical for psychiatric hospitals to obtain and maintain their deemed status for Medicare funding.

CMS Compliance Training: CMS Standards

Our CMS compliance training covers the CMS CoPs and Interpretive Guidelines. Our goal is to help make sure that you and your organization are prepared when it comes time for the CMS survey. It includes all standards contained in both the CMS A Tags and B Tags:

CMS State Operations Manual
Appendix A: Regulations & Interpretive Guidelines for Hospitals (applicable to all hospitals including psychiatric hospitals)

  • Governing Body
  • Patient’s Rights
  • Quality Assessment/Performance Improvement
  • Medical Staff
  • Nursing Services
  • Medical Record Services
  • Pharmaceutical Services
  • Food/Dietetic Services
  • Utilization Review
  • Physical Environment
  • Infection Control
  • Discharge Planning
  • Organ, tissue, eye procurement
  • Anesthesia Services
  • Outpatient ServicesBooks about CMS compliance training
  • Emergency Services
  • Rehabilitation Services

Appendix AA: Regulations & Interpretive Guidelines for Psychiatric Hospitals (applicable only to psychiatric hospitals)

  • Special Medical Record Requirements for Psychiatric Hospitals
  • Special Staff Requirements for Psychiatric Hospitals

Types of CMS Surveys

It’s important to understand the different types of surveys that CMS conducts. Our CMS compliance training consultants educate your team on the various types of CMS surveys you might experience:

  • Certification & Recertification Surveys: Full CMS surveys to evaluate compliance with the CoPs
  • Validation Surveys: Conducted within 60 days of your TJC survey to validate the TJC survey findings
  • Complaint Surveys: Conducted in response to complaints received by the CMS Regional Office or State Survey Agency. CMS surveys 100% of complaints received.

CMS Compliance Training: CMS Survey Process

CMS surveys are unannounced and can be challenging to manage. Our CMS compliance training consultants educate your team on how to manage the CMS survey process. By using our CMS compliance training services, your team gets prepared for how to handle all the CMS survey activities:

  • Entrance conference: How to navigate the opening session and get off to a good start
  • Document review: Which documents surveyors need and how to organize them
  • Medical record reviews: How to effectively review your medical records with surveyors
  • Staff interviews: Preparing your staff for handling challenging questions
  • Observation of direct patient care including groups: How to present your treatment program effectively
  • Patient interviews: Preparing patients for potential surveyor interviews
  • Evaluation of adequacy of staffing: How to complete the CMS staffing forms
  • Review of Human Resource files: How to organize your files for easy surveyor review
  • Review of Medical Staff credentialing/privileging files: What surveyors expect for physician performance review
  • Review of contracted services: Learn the typical pitfalls in contract monitoring and how to avoid them.
  • Inspection of physical plant: Your Facilities Management Team will learn the details of the Physical Environment standards. They’ll also gain insights to how CMS is scrutinizing ligature risks.

Why Choose Barrins & Associates for CMS Compliance Training?

We’ve worked with psychiatric hospitals nationwide to help them understand the CMS CoPs and navigate the CMS survey process. Our expert team of CMS compliance training specialists includes an RN who spent 12 years as a CMS surveyor of psychiatric hospitals.

Our CMS compliance training consultants have state of the art knowledge of how CMS is currently applying its standards in psychiatric hospitals.

Partner with us today and give your team the CMS compliance training they need to succeed on your next CMS survey. Call us at 1-888-742-4621 to discuss your needs or fill out our online contact form.

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Get your team up to speed on the most challenging CMS issues and how to tackle them. Schedule your CMS Compliance Training.