These are a set of minimal standards which must be met before CMS will ever issue any reimbursement for Medicare and Medicaid Services.
Two kinds of organizations can review a health care provider to check for compliance with these conditions - either a state level agency acting on behalf of CMS, or a national accreditation agency like the Joint Commission.
[6] A consequence of this is that the CMS payment systems can be more complicated at small clinics than at large hospitals for the same procedures.
[8] In 1994 about 5000 hospitals were eligible to receive CMS funding as a result of being reviewed by the Joint Commission.
[9] The Medicare Improvements for Patients and Providers Act of 2008 removed the deemed status of the Joint Commission and directed it to re-apply to CMS to seek continued authority to review hospitals for CfC and CoP.