39.6k views
4 votes
Which do the Centers for Medicare and Medicaid Services develop as requirements that health care organizations must meet in order to begin and continue participating in the Medicare and Medicaid programs?

1 Answer

5 votes

Final answer:

CMS develops conditions and requirements for healthcare organizations to participate in Medicare and Medicaid, such as administrative cost caps and the adoption of electronic medical records.

Step-by-step explanation:

The Centers for Medicare and Medicaid Services (CMS) develop conditions and requirements that health care organizations must satisfy to initiate and continue participation in the Medicare and Medicaid programs. These include a variety of standards such as maintaining sufficient patient records, adhering to specific care protocols, and implementing cost-control measures. For example, under the Affordable Care Act (ACA), measures were introduced to help regulate the increase in healthcare costs, such as capping the amount spent on administrative costs and mandating the adoption of electronic medical records (EMRs) to reduce those costs. Hospitals and healthcare providers must adhere to these guidelines to ensure compliance and continued eligibility for funding from these federal programs.

User FabienRohrer
by
7.8k points