Getting Started With Joint Commission Accreditation | Joint Commission
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Getting Started With Joint Commission Accreditation

August 31, 2012

What to do before your initial Joint Commission hospital survey is conducted:

  • Fulfill your state’s licensure requirements (if applicable in your specific state).

  • If your hospital plans to seek Medicare reimbursement, complete and submit the CMS 855 application to Medicare. We require verification that your 855A application has been accepted by CMS before we can schedule your on-site survey. The form can be found at CMS website
    (www.cms.hhs.gov).

  • If your hospital plans to seek Medicare reimbursement, notify CMS and the State Department of Health by letter that The Joint Commission will be conducting your deemed status survey.

  • Meet the following minimum inpatient eligibility requirements:

    • A hospital that is new to The Joint Commission must have one active inpatient case and 10 inpatient records at the time of the survey.

    • A hospital that is seeking Medicare certification and is new to The Joint Commission must have one active inpatient case at the time of the survey in addition to the following required by CMS:

      • If your Average Daily Census is 21 or more or your organization is a specialty hospital (cardiac, orthopedic or surgical), you must be able to provide inpatient records for at least 10 percent of the ADC, but not less than 30 inpatient
        records.

      • If your ADC is less than 21 (1-20), you must be able to provide 20 inpatient records
         

 

 
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