The loss of 'deemed status' could stop reimbursement of revenue from the?

• A. Centers for Medicare and Medicaid Services
• B. The Joint Commission
• C. Private insurance providers
• D. State health department

Answer: (A)

Deemed status is the recognition by CMS that an accrediting organization can certify hospitals as meeting Medicare conditions of participation. This lets a hospital receive Medicare payments based on that accrediting body’s surveys rather than CMS’s own surveys. If deemed status is lost, CMS will not accept the accrediting body’s findings as proof of compliance, so the hospital would have to undergo CMS surveys and, if findings show noncompliance, Medicare reimbursement could be halted. Private insurers or state health departments aren’t the direct payer in this scenario, so the impact is felt most with Medicare payments from CMS.