SURVEY TEAM COMPOSITION AND WORKLOAD REPORT Form CMS-670 Completion Guidance

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Title
SURVEY TEAM COMPOSITION AND WORKLOAD REPORT Form CMS-670 Completion Guidance
Memo #
Admin-24-08-CLIA
Posting Date
2023-12-18
Fiscal Year
2024
Summary
Memorandum Summary

The Centers for Medicare & Medicaid Services is providing additional guidance related to the recording of survey hours on Form CMS-670:

• Form CMS-670 hour categories: Guidance is provided on what should and should not be included in each category.
• Survey-specific Form CMS-670: Guidance is provided on how Form CMS-670 hours for follow-up/revisit surveys, specialty/subspecialty addition-only surveys, proficiency testing desk review surveys, complaint surveys, and licensure surveys should be recorded.