ED Coding & Reimbursement Alert - 2019 Issue 7
Physician Note: CMS Offers New Guidance on Co-Location Requirements
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Article Overview
This article summarizes new CMS draft guidance for co-located hospitals and related healthcare entities. It is aimed at hospital administrators, compliance staff, and coding/revenue integrity professionals who need a high-level understanding of how surveyors may evaluate shared spaces, shared staffing arrangements, staff training, and emergency department requirements under Medicare participation rules. The discussion is focused on compliance and oversight considerations rather than billing code selection.
Why This Topic Matters
Organizations with shared facilities or staffing arrangements need to understand the compliance issues CMS is emphasizing so they can evaluate current operations, prepare for survey review, and reduce the risk of noncompliance with Medicare conditions.
Article Sections
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Context
Introduces the CMS draft guidance and explains the general compliance setting for co-located hospitals and other healthcare entities. It frames the purpose of the memorandum and the type of arrangements being reviewed.
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Key points in the draft guidance
Summarizes the main operational areas addressed by the guidance, including shared space, staffing arrangements, training expectations, and emergency department oversight. The section presents the broad categories of CMS considerations without detailing specific decision rules.
What You Will Learn
- The compliance issues CMS is addressing for co-located hospitals and related entities
- Which broad operational areas are included in the draft guidance
- How the article frames surveyor review of shared arrangements
- Why hospital leadership and compliance teams should review the guidance
Who Should Read This
- Hospital administrators
- Compliance officers
- Revenue integrity professionals
- Health information management professionals
- Medical coding and billing teams
- Facility operations leaders
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