Description

This program will cover the Centers for Medicare & Medicaid Services (CMS) requirements on grievance regulations.? 
 
The speaker will review a federal law that is enforced by the Office of Civil Rights requirements under Section 1557 of the Affordable Care Act. Hospitals must have a grievance procedure and compliance coordinator to investigate any grievances alleging noncompliance with this law, including discrimination.???? 
 
Staff should be aware of and follow the hospital grievance and complaint policy, which should be board-approved. This program will also cover what is now required to be documented in the medical record.? 

LEARNING OBJECTIVES:
At the conclusion of this session, participants should be able to:

-Discuss that any hospital that receives reimbursement for Medicare patients must follow the CMS Conditions of Participation on grievances. 
-Recall that the CMS regulations under grievances require a grievance committee.
-Explain that patients must be provided with a written notice that includes steps taken to investigate the grievance, results of the investigation, and the date of completion.
-Describe why the Office of Civil Rights requires hospitals to have a process to handle grievances related to discrimination.

 TARGET AUDIENCE:
Chief Medical Officer, Chief Nursing Officer, Compliance Officer, Emergency Department Personnel, Joint Commission Coordinator, Medical Records, Quality Improvement personnel, Risk Manager, Legal Counsel.