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2 NOT N/A EXPLANATORY STATEMENT Provision of emergency services by nonparticipating hospitals. a The services of an institution that does not have an agreement to participate in the Medicare program may nevertheless be reimbursed under the program if 1 The services are emergency services and 2 The institution meets the requirements of section 1861 e 1 through 5 and 7 of the Act. Rules applicable to emergency services furnished by part 424 of this chapter. b Section 440. 170 e of this chapter de ...

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What is the CMS State Operations Manual?

The CMS State Operations Manual (SOM) provides CMS policy regarding survey and certification activities. Surveyors assess the hospital's compliance with the CoP for all services, areas and locations in which the provider receives reimbursement for patient care services billed under its provider number.

What is a CMS 1539?

The Form CMS-1539 is used to process updates to a provider/supplier's information in the national data system.

What is a CMS 670?

Form CMS-670. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining data needed, and completing and reviewing the collection of information.

When the State Survey Agency SA or CMS location S substantiates a finding of abuse to whom must they report the substantiated findings if appropriate?

When the SA or Regional Office (RO) substantiates a finding of abuse, the SA or RO must report the substantiated findings to local law enforcement and, if appropriate, the Medicaid Fraud Control Unit. One of the seven key components published by CMS to combat abuse in nursing homes is Prevention.