Medicare and Medicaid Participating Facilities: CMS Needs to Reexamine Its Approach for Funding State Oversight of Health Care Facilities
DIANE Publishing, 2010 - 90 pages
Americans receive care from tens of thousands of health care facilities participating in Medicare and Medicaid. To ensure the quality of care, the Centers for Medicare and Medicaid Services (CMS) contracts with states to conduct periodic surveys and complaint investigations. The auditor evaluated survey funding, state workloads, and fed. oversight of states' use of funds since FY 2000 to determine if fed. funding had kept pace with the changing workload. He analyzed: (1) fed. funding trends from FY 2000 through 2007 and CMS's methodology for determining states' allocations and spending; (2) CMS data on the number of participating facilities and completed state surveys; and (3) CMS oversight of state spending. Includes recommendations. Illus.
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2000 to fiscal According to CMS accredited facilities AHFSA ambulatory surgical centers average survey hours budget analysis tool Centers for Medicare CMS data CMS oversight CMS regional offices CMS survey frequency CMS’s complaint investigations compliance contribution rates draft report end-stage renal disease ensure facilities subject facility types federal funding federal Medicare federal monitoring surveys fiscal years 2000 funding for survey home health agencies homes and intermediate hospices hospitals increase Inflation-Adjusted initial Medicare allocations intermediate care facilities licensure Medicaid Services Appendix Medicare & Medicaid Medicare and Medicaid mentally retarded non-Medicaid number of facilities number of surveys nursing home surveys offices we spoke organ transplant Percentage change performance reviews physical therapy programs regional office told renal disease facilities required survey workload revisits September 30 serious deficiencies state’s subject to surveys supplemental funding survey activities Survey and Certification survey funding survey process survey requirements surveys in tiers Type of facility validation surveys Washington