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CoP Requirements from the Center for Medicare and Medicaid Services

CoP Requirements from the Center for Medicare and Medicaid Services

Published: 4/5/21 – 


Is your hospital ready for the new Conditions of Participation (CoP) requirements from the Center for Medicare & Medicaid Services (CMS)? In a little less than a month, on May 1, 2021, CMS will require all Medicare & Medicaid participating hospitals, inclusive of psychiatric hospitals and critical access hospitals, to send encounter notifications to established primary care providers (PCPs) and post-acute care providers (PAC) of their patients. While this will require hospitals to meet minimum requirements for encounter notifications, or as we like to call them, Admissions, Discharge, and Transfer (ADT) messages, much of the Michigan market will be equipped to meet the requirements if they participate in the MiHIN framework and ADT Use Case.

During this month’s presentation of “The Download,” MiHIN will walk through a comprehensive resource it has created for the hospital and PCP/PAC community. It will outline frequently asked questions for hospitals, how providers are able to begin receiving the ADT messages that hospitals will be required to send, a template response for hospitals to utilize during CMS surveyor audits, a summary of our ADT Use Case, and lists of participating organizations. This guide will not only assist organizations in meeting the compliance requirements but will also ensure that organizations will not need to start from scratch to meet these requirements.

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