The CMS The Compliance Crosswalk

The CMS

Compliance

Crosswalk

2017 Edition

The

CMS Compliance Crosswalk

2017 Edition

The CMS Compliance Crosswalk, 2017 Edition, is published by HCPro, an H3.Group division of Simplify

Compliance, LLC.

Copyright ? 2017 HCPro, an H3.Group division of Simplify Compliance, LLC.

All rights reserved. Printed in the United States of America.

5 4 3 2 1

Download the additional materials of this book at downloads/12594

ISBN: 978-1-68308-577-5

No part of this publication may be reproduced, in any form or by any means, without prior written consent of HCPro or the Copyright Clearance Center (978-750-8400). Please notify us immediately if you

have received an unauthorized copy.

HCPro provides information resources for the healthcare industry.

HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks.

Matt Phillion, Editor

Kurt Patton, MS, R.Ph, Reviewer

Jay Kumar, Associate Product Manager

Erin Callahan, Vice President, Product Development & Content Strategy

Elizabeth Petersen, President, H3.Group

Matt Sharpe, Production Supervisor

Vincent Skyers, Design Services Director

Vicki McMahan, Sr. Graphic Designer

Tyson Davis, Cover Designer

Jason Gregory, Graphic Design/Layout

Advice given is general. Readers should consult professional counsel for specific legal, ethical, or clinical

questions.

Arrangements can be made for quantity discounts. For more information, contact:

HCPro

100 Winners Circle, Suite 300

Brentwood, TN 37027

Telephone: 800-650-6787 or 781-639-1872

Fax: 800-639-8511

Email: customerservice@

Visit HCPro online at and

The CMS Compliance Crosswalk, 2017 Edition

Contents

Introduction........................................................................................................................... v

Crosswalk............................................................................................................................... 1

¡ì482.11 CoP: Compliance with Federal, State, and Local Laws..................................................... 1

¡ì482.12 CoP: Governing Body..................................................................................................... 3

¡ì482.13 CoP: Patient Rights.......................................................................................................16

¡ì482.21 CoP: Quality Assessment and Performance Improvement Program..................................35

¡ì482.22 CoP: Medical Staff........................................................................................................41

¡ì482.23 CoP: Nursing Services...................................................................................................51

¡ì482.24 CoP: Medical Record Services........................................................................................60

¡ì482.25 CoP: Pharmaceutical Services........................................................................................67

¡ì482.26 CoP: Radiologic Services...............................................................................................74

¡ì482.27 CoP: Laboratory Services..............................................................................................79

¡ì482.28 CoP: Food and Dietetic Services....................................................................................86

¡ì482.30 CoP: Utilization Review................................................................................................89

¡ì482.41 CoP: Physical Environment...........................................................................................96

¡ì482.42 CoP: Infection Control................................................................................................102

¡ì482.43 CoP: Discharge Planning.............................................................................................105

¡ì482.45 CoP: Organ, Tissue, and Eye Procurement...................................................................113

¡ì482.51 CoP: Surgical Services.................................................................................................116

¡ì482.52 CoP: Anesthesia Services............................................................................................121

¡ì482.53 CoP: Nuclear Medicine Services..................................................................................127

¡ì482.54 CoP: Outpatient Services.............................................................................................131

¡ì482.55 CoP: Emergency Services............................................................................................133

¡ì482.56 CoP: Rehabilitation Services........................................................................................136

¡ì482.57 CoP: Respiratory Services............................................................................................139

Appendix A.........................................................................................................................143

Appendix B.........................................................................................................................149

Appendix C.........................................................................................................................153

Appendix D.........................................................................................................................157

Appendix E.........................................................................................................................159

? 2017 HCPro, an H3.Group division of Simplify Compliance, LLC

iii

The CMS Compliance Crosswalk, 2017 Edition

Appendix F.....................................................................................................................................185

Clinic/Physician Office Tracer.................................................................................................186

CMS Survey Tips/Documents..................................................................................................191

CMS/OSHA Regulatory Training Requirements.........................................................................193

Departmental Tracer...............................................................................................................195

ED Tracer...............................................................................................................................202

ICU Tracer..............................................................................................................................208

Medical Staff File Review........................................................................................................214

OR/Procedural Tracer.............................................................................................................217

Restraint Documentation Audit................................................................................................223

iv

? 2017 HCPro, an H3.Group division of Simplify Compliance, LLC

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download