ACHC: MEDICARE VS. NON-MEDICARE CERTIFIED

Hello everyone. I need to pick your brains and I will appreciate any input.I have couple of questions:

1) Does ACHC or any accrediting body has a different standards requirement when doing a survey for agency that is Medicare- certified vs a non-Medicare certified agency like for ex. an agency just doing all nursing service mostly for IV patients with no PT OT ST etc, just nursing?

2) Is there certain number of patients required to maintain an agency's Medicare certified status? Can you maintain it with just 1 or 2 patients?

Any answer or link you can direct me to will be helpful. Thank you very much.

Comments

  • As a previous consultant and surveyor for CHAP the answer is YES. There
    are usually standards for non Medicare Certified agencies that are
    followed. As far a minimum number of patients required for Medicare status
    there are no requirements, however for a startup agency one cannot be
    surveyed for Accreditation unless there was a mininmum of 7 active and 3
    discharged patients. I hope this helped.

    Michelle Dubner RN BSN
    Global Healthcare Associates
    800-530-3789 ext. 1

    Michelle Dubner, RN
    Global Healthcare Associates LLC
    "from process to mastery"
    www.globalhealthcareassociates.com
    800-530-3789
    fax: 888-680-9859
    email:mdubner@globalhealthcareassociates.com

  • As a previous consultant and surveyor for CHAP the answer is YES. There
    are usually standards for non Medicare Certified agencies that are
    followed. As far a minimum number of patients required for Medicare status
    there are no requirements, however for a startup agency one cannot be
    surveyed for Accreditation unless there was a mininmum of 7 active and 3
    discharged patients. I hope this helped.

    Michelle Dubner RN BSN
    Global Healthcare Associates
    800-530-3789 ext. 1

    Michelle Dubner, RN
    Global Healthcare Associates LLC
    "from process to mastery"
    www.globalhealthcareassociates.com
    800-530-3789
    fax: 888-680-9859
    email:mdubner@globalhealthcareassociates.com
  • Thank you Michelle for the reply. So a Medicare certified agency can maintain their Medicare certification even just with 1 patient? The company has been in the business for years but is changing its business plan of gearing towards non Medicare pay patients and would like to also maintain its Medicare certification.
  • Thank you Michelle for the reply. So a Medicare certified agency can maintain their Medicare certification even just with 1 patient? The company has been in the business for years but is changing its business plan of gearing towards non Medicare pay patients and would like to also maintain its Medicare certification.
  • Yes, as far as I know. But you must maintain PAC/QI and all the rest of the regulatory requirements which is expensive for a low census.


    MIchelle Dubner RN BSN
    Performance Improvement Manager
    mdubner@holyokevna.org
    413-887-5568

  • Yes, as far as I know. But you must maintain PAC/QI and all the rest of the regulatory requirements which is expensive for a low census.


    MIchelle Dubner RN BSN
    Performance Improvement Manager
    mdubner@holyokevna.org
    413-887-5568
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