Maintain Your Medicare/Medicaid Participation

Medicare health care organizations enter into a SIA with the Centers for Medicare & Medicaid Services (CMS) when faced with the loss of Medicare participation. This can be due to multiple complaint surveys with repeated findings, a high number of Immediate Jeopardies, or an inability to implement, measure, and monitor corrective action plans. In situations like these, teaming up with JCR may make all the difference. The SIA provides your organization more time to address deficiencies and to make improvements while suspending the termination process. An SIA typically lasts for 12 months but can last as long as 18 months. Make the most of that time by allowing JCR’s CMS/Medicare experts help your organization make systematic improvements that align with the level of quality and compliance required by CMS/Medicare guidelines.

Entering into an SIA may be the difference between being allowed to continue billing Medicare or being terminated from the Medicare program which may often lead to facility closure and an overwhelming effect on the community, employees, and medical staff.

That's why it's so important to get it right. Our experts have:

• Experience conducting SIAs.
• Expertise in patient safety and industry best practices.
• Experience in change management.
• Relationships with subject matter experts.
• Ethically-based business practices.
• Knowledge of Conditions of Participation.

Look for all these attributes when you choose external experts to assist you during your SIA, as CMS must approve your selection. Choose wisely, your organization and community depend on it.