Which entity evaluates and certifies hospitals for compliance with Medicare requirements?

Which entity evaluates and certifies hospitals for compliance with Medicare requirements?

• A. Waiver Alerts
• B. Fraud Alerts
• C. State Survey Agency
• D. The Joint Commission

Answer: (C)

Medicare certification is granted after a formal on-site survey to verify compliance with the Medicare Conditions of Participation. That evaluation is conducted by the State Survey Agency in the state, which is the unit within the state health department that administers these surveys and, when compliance is shown, issues the Medicare certification allowing the hospital to participate in Medicare. The Joint Commission operates as a private accrediting organization and can provide deemed status that CMS may recognize in some contexts, but the official Medicare certification comes from the State Survey Agency.

Medicare certification is granted after a formal on-site survey to verify compliance with the Medicare Conditions of Participation. That evaluation is conducted by the State Survey Agency in the state, which is the unit within the state health department that administers these surveys and, when compliance is shown, issues the Medicare certification allowing the hospital to participate in Medicare. The Joint Commission operates as a private accrediting organization and can provide deemed status that CMS may recognize in some contexts, but the official Medicare certification comes from the State Survey Agency.