Medicare’s Condition of Participation



Purpose: This assignment will help you become familiar with documentation standards and

Medicare’s Conditions of Participation

Assignment Description:

The CEO of Hospital Anywhere has just hired you as a consultant to review and update

all administrative guidelines, policies and procedures. You want to start with the Medical

Staff By-laws. You ask the CEO for a copy of the Medical Staff By-laws to review. The

CEO tells you, that he doesn’t know if any Medical Staff by-laws were ever written and

refers you to the Director of the Medical Staff. When you speak with the Director of the

Medical Staff, you learn that the CEO is correct. The Medical Staff By-laws were never

written. After discussion with both the CEO and Director of the Medical Staff, it is

determined that at least part of the Medical Staff by-laws should reflect Medicare’s

Conditions of Participation.

Step One: Locate and review Medicare’s Conditions of Participation.

Step Two: Develop five Medical Staff By-laws based on the information in the

Medicare’s Conditions of Participation

Step Three: Write a formal proposal to the CEO and Medical Staff director containing

the following:

1. An explanation about Medicare’s Conditions of Participation (What is it?)

2. Five Medical Staff By-laws

3. An explanation for EACH by-law. Why it is important? How does it meet Medicare’s

Conditions of Participation?

Your proposal should be two pages long (not counting title and reference pages) and be

in proper APA format

Instruction Files

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