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Streamline CMS Compliance for Critical Access Hospitals
Ensure your CAH meets and exceeds CMS standards with Medplace's expert peer review services. Reduce admin overhead, improve compliance, and enhance patient care.
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Ensuring critical access compliance with the Centers for Medicare & Medicaid Services (CMS) is vital for Critical Access Hospitals (CAHs) to continue providing essential healthcare services to rural communities. Medplace offers tailored solutions to help CAHs meet and exceed CMS standards, addressing unique challenges and streamlining operations.
CMS Compliance Requirements for CAHs
Critical Access Hospitals must adhere to specific criteria established by CMS to maintain their designation and funding:
Location and Distance: Situated in a rural area, more than 35 miles from another hospital, or 15 miles in areas with mountainous terrain or only secondary roads.
Bed Capacity: Maintain no more than 25 inpatient beds, which can be used interchangeably for acute care or swing-bed services.
Length of Stay: Ensure an annual average patient length of stay of 96 hours or less for acute care.
Emergency Services: Provide 24/7 emergency care services.
Challenges Faced by CAHs
Operating in rural settings presents unique obstacles for Critical Access Hospitals:
Financial Constraints: Limited patient volumes and high rates of uncompensated care strain budgets.
Workforce Shortages: Recruiting and retaining skilled healthcare professionals in remote areas is challenging.
Regulatory Compliance: Meeting CMS Conditions of Participation requires continuous quality assessments and documentation to maintain critical access compliance.
Some of Our Top Requested Medical Specialties
Medplace has over 700 providers across 130 sub-specialties and growing.
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Medplace's External Peer Review Services
Medplace offers specialized external peer review services designed to assist Critical Access Hospitals in overcoming these challenges:
Access to a Broad Network of Experts: Connect with over 700 medical experts across 130 specialties, ensuring comprehensive reviews that enhance critical access quality.
Streamlined Administrative Processes: Our platform simplifies the peer review process, reducing the administrative burden on clinical and administrative staff.
Timely and Thorough Reviews: Receive detailed reports with an average turnaround time of 6 to 8 days, facilitating prompt compliance and quality improvements.
How It Works
Get started in 4 easy steps:
Step 1 - Tell Us Your Needs
Tell us your needed specialties and desired review cadence, and we'll set it all up to align with HRSA compliance requirements.
Step 2 - Request Reviews
Log into Medplace and request your reviews on your schedule, ensuring continuous HRSA quality improvement.
Step 3 - Get a Report
Our platform and expert reviewers will do the rest. Get a detailed report back in as little as 6 days, ready for HRSA scrutiny.
Step 4 - Rate Your Reviewer
Rate your reviewer while maintaining the highest standards for compliance with the Health Resources and Services Administration.
Why Choose Medplace?
Expertise Across Specialties: Access a vast network of professionals to meet diverse peer review needs.
Efficient Processes: Our platform is designed to minimize administrative tasks, allowing your team to focus on patient care.
Reliable Compliance Support: Ensure your CAH not only meets but exceeds CMS requirements with our comprehensive services.
Partner with Medplace to enhance your Critical Access Hospital's compliance and critical access patient safety, ensuring you are well-prepared for CMS audits and the unique challenges of rural healthcare delivery.
Features
Choose Your Reviewer
Get 2-3 matches based on your specific needs. Need more options to choose from? No problem - we can provide additional matches at no cost, ensuring you get the right expert for CMS compliance.
Customizable Peer Review Forms
Use our form, built using feedback from top Federally Qualified Health Centers, or provide your own to align with your CMS quality initiatives.
Integrated Scheduling & Video Conferencing
Use our platform's simple yet powerful built-in scheduling tool and popular video apps to speak to your reviewer anytime, ensuring real-time support for CMS patient safety.
Case Study: Rural CAH in Kansas
A Critical Access Hospital in Kansas, operating with 20 inpatient beds, partnered with Medplace to enhance their compliance and operational efficiency. Through this collaboration, they achieved:
80% Reduction in Administrative Overhead: Streamlining the peer review process significantly decreased the workload on administrative staff.
Improved Compliance for CMS Audits: All peer reviews were completed promptly, ensuring full critical access compliance with CMS requirements.
Enhanced Quality of Care: Access to a diverse pool of experts led to comprehensive reviews, elevating critical access patient safety and overall care standards.
Benefits
No IT Integration Required
Federally Qualified Health Centers do not typically have the IT resources for lengthy integrations. Start using Medplace immediately with no complicated tech setup required.
Automatic Workflows
Leverage powerful workflows to streamline your CMS peer review process efficiently.
Customizable Cadences Per CMS Provider
Need bi-annual reviews? Quarterly? Monthly? Set each provider's review frequency as needed, ensuring CMS compliance.
Easy Budgeting
Planning for peer review expenses doesn’t have to be complicated. Add predictability to your CMS budgeting process with clear, transparent pricing.
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The Easiest Thing You'll Do All Day.
Medplace works with Federally Qualified Health Centers across the country and makes peer review the easiest thing risk and patient safety leaders do all day.
Get StartedFAQs
Why Medplace for FQHCs?
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Medplace is the industry's first platform and network of practicing providers that automates the process of completing peer reviews.
FQHCs have specific challenges, like having requirements for reviews, a lack of internal specialties, and limited resources. Medplace is a cost-effective and operationally efficient solution.
What is the right subscription plan for my FQHC?
Most FQHCs opt for quarterly or bi-annual reviews. Reach out to our Clinical Operations team, who can advise you on your specific situation.
How much do FQHC peer reviews cost?
Pricing varies based on (1) the cadence of your reviews - annual, bi-annual, or quarterly, and (2) the specialty of the reviewer. Medplace has six tiers of specialties ranging from Nurses to Neurosurgeons. Reach out to Sales for a complete schedule of subscription rates in addition to hourly rates, reactive review rates, and more.
How long does it take to complete an FQHC peer reviews?
Most reviews are completed within two weeks, with a 6-8 day average turnaround time.
What specialties does Medplace have for FQHC peer reviews?
Medplace has over 130 specialties represented in our national network of experienced, practicing providers. If you need something specific, just contact our Clinical Operations team. If we don't already have it, we can often find someone highly qualified within about a week.
Can I also get in-depth reviews from Medplace for unforeseen events like mortalities or risk assessments?
Yes! We also offer a Readiness Reviews subscription plan starting at $500/month that includes 4 discounted reviews per year, record organization, access to 700+ medical experts, and unlimited review submissions at standard pricing.
Medplace is a service and technology solution provider for hospitals, carriers, physician groups, law firms, and more. We streamline peer and case reviews, independent medical exams, expert witness testimony, and other medical-legal work.
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