SOM Appendix A - CMS

State Operations Manual Appendix A - Survey Protocol, Regulations and Interpretive Guidelines for Hospitals Table of Contents (Rev. 176, 12-29-17) Transmittals for Appendix A Survey Protocol Introduction Task 1 - Off-Site Survey Preparation Task 2 - Entrance Activities Task 3 - Information Gathering/Investigation Task 4 - Preliminary Decision Making and Analysis of Findings Task 5 - Exit Conference Task 6 Post-Survey Activities Psychiatric Hospital Survey Module Psychiatric Unit Survey Module Rehabilitation Hospital Survey Module Inpatient Rehabilitation Unit Survey Module Hospital Swing-Bed Survey Module Regulations and Interpretive Guidelines Basis and Scope Provision of Emergency Services by Nonparticipating Hospitals Condition of Participation: Compliance with Federal, State and Local Laws Condition of Participation: Governing Body Condition of Participation.

areas, or any special features of the provider (e.g., provider-based clinics, remote locations, satellites, specialty units, PPS-exempt units, services offered, etc.) require the addition of any specialty surveyors to the team. Information obtained about the provider

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