CMS Conditions of Coverage: A Deep Dive

Anyone who has been working within the scope of hospital case/utilization management for any period of time has heard of the Centers for Medicare and Medicaid Services (CMS) Conditions of Participation.

But are you familiar with the CMS Conditions for Coverage?  Sometimes referred to as “conditions of payment,” these requirements must be met in order for federal health plans to pay a healthcare facility for a submitted claim.

Welcome to the live edition of Talk Ten Tuesday, Dec. 9, 10 Eastern. That’s when Dr. Juliet Ugarte Hopkins, Chief Medical Officer for Phoenix Medical Management, Inc., will explain how failure to meet some aspects of the CoPs doesn’t mean there is a failure in Conditions for Coverage (CfC).

The broadcast will also feature these instantly recognizable panelists, who will report more news during their segments:

• Social Determinants of Health: Tiffany Ferguson, CEO for the aforementioned Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.
• CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest CDI updates.
• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.
• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.
• MyTalk: Angela Comfort, veteran healthcare subject-matter expert, will co-host the broadcast. Comfort is the Assistant Vice President of Revenue Integrity for Montefiore Health.