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Quality Digest

Standards

Quality Effort Aims to Improve Hospital Reimbursement Processes

Published: Wednesday, November 3, 2004 - 23:00

TÜV America and Healthcare Specialists Inc. have formed a new alliance to help hospitals receive Medicare reimbursements more quickly and easily.

To that end, the organizations formed a new organization, TÜV Healthcare Specialists, which includes the National Institute for the Accreditation of Healthcare Organizations (NIAHO). The new organization plans to apply to the Centers for Medicare and Medicaid Services to be granted “deeming authority as a national accreditation organization to certify hospitals to receive Medicare reimbursement.” Of the more than 6,000 hospitals in the United States, approximately 40 percent of all patient claims are paid for my government reimbursement. The Centers for Medicare and Medicaid Services (CMS) grants the authority to distribute reimbursements to only three agencies, none of which use ISO 9001 principles. According to TÜV Healthcare Specialists, implementing ISO 9001 in more hospital management systems would dramatically improve patient safety and operational performance.

When NIAHO receives CMS approval, the ISO registration provided by TÜV Healthcare Specialists and the CMS accreditation program will be combined into one complete survey program. The ISO registration and accreditation program that TÜV Healthcare Specialists has developed requires a hospital to be registered to ISO and also comply with the federal government’s Hospital Conditions of Participation for the Medicare program.

“Healthcare Specialists’ long-term expertise in the health care market, especially hospitals, is a perfect fit for our strategy to promote improved patient safety and economic effectiveness through the implementation is ISO 9001,” says Stefan Butz, TÜV America president and CEO. “The formation of TÜV Healthcare Specialists combines the strengths and expertise of HSI and TÜV America to jointly increase quality in the health care market.”

For more information, visit www.tuvamerica.com.

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For 40 years Quality Digest has been the go-to source for all things quality. Our newsletter, Quality Digest, shares expert commentary and relevant industry resources to assist our readers in their quest for continuous improvement. Our website includes every column and article from the newsletter since May 2009 as well as back issues of Quality Digest magazine to August 1995. We are committed to promoting a view wherein quality is not a niche, but an integral part of every phase of manufacturing and services.