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INTEGRITY IN PRACTICE: ETHIC AND LEGALCONSIDERATIONSNSG/4262019/2020INTRODUCTION Conditions for coverage and participation are generally imposed by Centers for Medicare and Medicaid Services, CMS.They come up with different Conditions of Participation (CoPs) and several Conditions of Coverage (CFCs), whichorganizations should meet to start and carry out activities based in the Medicare and Medicaid fields. These safetystandards are the bases of coming up with quality and high-end safety health measures. CMS ensures that there arestandards set to govern participating organizations. This process is referred to as deeming, which includes grading thestandards that the organizations are required to fulfill. The involved organizations should be able to either meet theminimum requirements, or they should exceed the expectation of the Medicare standards that are set in the CoPs orCFCs. Among the organizations where the CoPs and CFCs standards are applied include Home Health Agencies,Hospitals, Transplant Centers, Critical Access Hospitals (CAHs), among others. This paper focuses on different coveragesand participation based on different factors that would be based on two different settingsINTRODUCTION Different medical facilities have other methods that are used in ensuring proper conditions of coverage have beenappropriately utilized and exhausted. They differ from one institution to the next. As a result, there are variations in howthings such as sta ...


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