Hospital criteria 2026

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The document is a Rehabilitation Hospital Criteria Worksheet from the Centers for Medicare & Medicaid Services (CMS), outlining the requirements for rehabilitation hospitals to be excluded from Medicare's acute care hospital payment system. It details necessary criteria, including provider agreements, patient population requirements, preadmission screening procedures, and qualifications for medical personnel. The form must be completed by a hospital representative to ensure compliance with regulations and maintain Medicare participation.

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Click ‘Get Form’ to open the hospital criteria worksheet in the editor.
Begin by entering the facility name and address, including city, state, and zip code. This information is crucial for identification.
Fill in the room numbers and total number of beds available in the hospital. Ensure accuracy as this data is essential for compliance.
Indicate the survey date, which helps track when evaluations are conducted.
For each criterion listed under Subpart B of Part 412, respond truthfully with 'YES', 'NO', or 'N/A'. Verify answers with relevant departments to ensure compliance.
Review all entries for accuracy before submitting. Utilize our platform’s features to save your progress and make edits as needed.

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