Accreditation is an external review process used to demonstrate the competency of an organization to demonstrate successful compliance with a predetermined set of criteria and standards. Many types of organizations participate in the accreditation process in order to validate the organizations compliance with the national standards of practice. Accreditation may be required by many payors such as Medicare, Medicaid and certain commercial payors.
The accreditation process is a multi-step process that begins with a thorough understanding of the specific set of standards or policy and procedures. The organization then demonstrates competency in meeting the standards through observation of work flow and processes, staff interviews and medical record review. Common areas for review are quality or process improvement, patient and employee records, business development and administration procedures, reimbursement procedures, emergency management processes.
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