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Accreditation for Medicare Deemed Status
1. Patient Rights and Responsibilities Standards
1.M. The ASC must establish a grievance procedure for documenting the existence, submission, investigation, and disposition of a patient's written or verbal grievance to the ASC.
1.M.5. The ASC must investigate all grievances
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1. Patient Rights and Responsibilities Standards
1.A. Patients are treated with respect, consideration, and dignity.
1.A.3. Interpretation services
1.B. The patient has the right to be free from any act of discrimination or reprisal.
1.B. Resources
1.C. The patient has the right to receive care in a safe setting.
1.C. Resources
1.E. The ASC must inform the patient or the patient's representative of the patient's rights and must protect and promote the exercise of these rights, as set forth in this section.
1.E. Resources
1.F. The ASC must also post the written notice of patient's rights in a place or places within the ASC likely to be noticed by patient's waiting for treatment or by the patient's representative or surrogate, if applicable.
1.F.1. Notice of the patient's rights
1.G. Prior to receiving care, patients are informed of their rights.
1.G.2. Patients/staff informed how to voice grievances about care
1.G.5. Patients/staff informed about advance directives
1.K. The ASC must comply with requirements for advance directives.
1.K.1. Patient is provided with written information about the ASC's advance directive policies
1.K.3. Patient's medical record documentation indicates presence of advance directive
1.L. The patient has the right to voice grievances regarding treatment of care that is (or fails to be) furnished.
1.L. Resources
1.M. The ASC must establish a grievance procedure for documenting the existence, submission, investigation, and disposition of a patient's written or verbal grievance to the ASC.
1.M.1. All grievances must be documented
1.M.4. The grievance process must specify timeframes
1.M.5. The ASC must investigate all grievances
1.M.6. The ASC documents how the grievance was addressed and provides the patient with written notice of the decision
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Element of Compliance
The ASC must investigate all grievances
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