While CMS survey-and-certification memo 17-44-Hospitals notes that surveyors will start with the average daily census (ADC) and average length of stay, it notes the following as other factors that the CMS regional office may consider when determining whether to conduct a second survey or recommend denial of an initial applicant or termination of a current provider agreement.

According to a recent study, almost 1.5 million Americans are expected to travel internationally in search of medical care. In a phenomenon referred to as medical tourism, many Americans are going abroad to undergo procedures that are either not offered in the United States or that are significantly cheaper outside of the country. Mexico, for example, offers procedures that are estimated to be 40%–65% cheaper than procedures in the United States. However, these less expensive surgeries have been proven to carry extreme risk for complications.

An expirables audit focuses on materials that expire and that therefore demand frequent verification to ensure ongoing effectiveness. Examples include professional liability insurance, licensure, OIG exclusion queries, DEA registration, clinical privilege forms, in-service educational requirements, and immunizations. Use this expirables audit tool to evaluate whether staff are complying with requirements to ensure that such items remain current. Add entries for relevant accreditation standards, bylaws, and policies and procedures, says form creator Kathy Matzka, CPMSM, CPCS, FMSP.

Find out what’s happening in the world of federal healthcare regulations by reviewing some recent headlines from across the country.

Much like the rest of the population, physicians are vulnerable to workplace stress and dissatisfaction. New physicians in residency are particularly susceptible to the negative aspects of the role, which can lead to burnout, depression, and even suicide. Awareness of physician wellness, especially resident wellness, has become a greater focus for the medical community in recent years. For example, the ACGME updated its Common Program Requirements to include language emphasizing its commitment to the well-being of residents, faculty, and all members of healthcare teams.

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