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This is an excerpt from a member-only article. To read the article in its entirety, please login or subscribe.

Revisions to immediate jeopardy process spotlights accountability of facility

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May 1, 2019

Be prepared to be held accountable for actions by contractors, staff, or volunteers that result in noncompliance with CMS Conditions of Participation (CoP). If those actions put a patient in harm’s way, your facility could face a finding of immediate jeopardy.

In an effort to streamline its process and increase communication with providers, CMS has rewritten its guidance for surveyors on when and how to determine if an immediate jeopardy (IJ) to patients exists. An unresolved IJ finding can threaten your ability to bill Medicare.

There are now three key components that must be met for immediate jeopardy to be called:

  1. Noncompliance with a single federal safety standard
  2. Evidence of harm or likelihood of harm
  3. The determination that there is an immediate need for action to prevent harm, or more harm, from occurring.

Be prepared to be held accountable for actions by contractors, staff, or volunteers that result in noncompliance with CMS Conditions of Participation (CoP). If those actions put a patient in harm’s way, your facility could face a finding of immediate jeopardy.



This is an excerpt from a member-only article. To read the article in its entirety, please login or subscribe.

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