This program will cover the Centers for Medicare & Medicaid Services (CMS) requirements on
grievance regulations. 

The speaker will review a federal law that is enforced by the Office of Civil Rights requirements
under Section 1557 of the Affordable Care Act. Hospitals must have a grievance procedure and
compliance coordinator to investigate any grievances alleging noncompliance with this law,
including discrimination.

Staff should be aware of and follow the hospital grievance and complaint policy, which should be
board-approved. This program will also cover what is now required to be documented in the
medical record.

Learning Objectives

• Discuss that any hospital that received reimbursement for Medicare patients must follow the CMS Conditions of Participation on grievances. 
• Recall that the CMS regulations under grievances require a grievance committee.
• Explain that patients must be provided with a written notice that includes steps taken to investigate the grievance, results of the investigation, and the date of completion.
• Describe why the Office of Civil Rights requires hospitals to have a process to handle grievances related to discrimination.

Presenter: Laura A. Dixon, BS, JD, RN, CPHRM 

Click here for an email registration form.