tci Medicare Compliance & Reimbursement - 2004 Issue 29

HOSPITALS: Grassley, Stark Want More Oversight Over JCAHO

Who's overseeing the overseers, legislators want to know. On July 20, Sen. Chuck Grassley (R-IA) and Rep. Pete Stark (D-CA) unveiled a proposal to give the federal government greater control over the private organization that qualifies hospitals for Medicare funding. The Joint Commission on the Accreditation of Healthcare Organizations enjoys "deeming" authority for hospitals, meaning that a hospital accredited by JCAHO is deemed to have met the Medicare Conditions of Participation and be eligible to receive reimbursement for treating Medicare enrollees. JCAHO's deeming authority is not unique; what is unique, however, is that the authority was written into the...

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