Education event

Medicare Conditions of Participation Seminar
Revised Interpretive Guidelines, survey process, contrasting Federal and California law

July 27, Pasadena
July 28, Sacramento


It started out as a normal workday.
But everything changed when a team of federal surveyors walked through the door. Management was notified and meetings were cancelled. Charts were requested, documentation was examined, and staff were called into interviews.

Are you prepared for survey?
Every hospital that accepts payment for Medicare and Medicaid Patients must comply with the Medicare Conditions of Participation and be ready for an unannounced survey.

To determine if hospitals are in compliance with the CoPs, CMS issues the Interpretive Guidelines. The Guidelines are instructions for surveyors on how to survey hospitals, what to look for and the questions to ask. Do you know what’s changed in the Interpretive Guidelines and what surveyors will look for during your next survey?

What you’ll learn:
Attendees of this seminar will learn about the latest changes in the Interpretive Guidelines, including recent revisions regarding anesthesia, restraint and seclusion and medical records.

Expert faculty will walk you through a comprehensive review of each tag in the Interpretive Guidelines, explain recent updates and tell you what you need to do to comply. You’ll also gain a better understanding of the survey process and procedures along the way.

Start preparing now for your next survey. Register today for this informative seminar.

Recommended for:

Accreditation managers, quality and performance improvement managers, risk managers, nurse executives, compliance officers, chief operating officers, privacy officers, health information managers and administrators.


8:00 – 8:30 a.m. Registration/Check-in

8:30 – Noon

Survey Protocol

  • Survey process, what to expect
  • Analysis of the findings
  • Exit conference
  • Post-survey activities

Conditions of Participation related to:

  • Governing body
  • Patient rights, new requirements for restraint and seclusion
  • Quality Assessment and Performance Improvement (QAPI)
  • Medical staff
  • Nursing services
  • Medical records services, changes to verbal orders, H&Ps
  • Pharmaceutical services, management, storage, patient safety

12:00 – 1:00 p.m. Lunch

1:00 – 4:30 p.m.

Conditions of Participation related to:

  • Utilization review
  • New Medicare patient discharge appeal rights
  • Infection control, tissue specimens, blood products
  • Discharge planning, evaluations and plans
  • Organ, tissue and eye procurement
  • Surgical and anesthesia services
  • Radiological services, adverse patient outcomes
  • Laboratory services
  • Food and dietetic services
  • Nuclear medicine services
  • Emergency services
  • Rehabilitation and respiratory services


Sue Dill, RN, MSN, JD is a nurse attorney and president of Patient Safety and Healthcare Consulting. Previously, Ms. Dill served as the director of hospital patient safety for The Doctors Insurance Company in Columbus, Ohio. She also has served as the vice president of legal services at a community hospital and as the director of risk management and health policy for the Ohio Hospital Association. In addition, Ms. Dill also held the roles of privacy officer and compliance officer.

Ms. Dill has been a medico-legal consultant for over 30 years. She has conducted many educational programs for nurses, physicians, and other health care providers on numerous topics including nursing law, ethics and nursing, malpractice prevention, HIPAA medical record confidentiality, EMTALA, Joint Commission issues, CMS issues, documentation, medication errors, medical errors, sentinel events, patient safety and other similar topics.

She frequently lectures on legal and risk management issues and has authored numerous publications.


July 27
Hilton Pasadena
168 S. Los Robles Avenue
Pasadena, CA 91101
(626) 577-1000

July 28
Hyatt Regency Sacramento
1209 L Street
Sacramento, CA 95814
(916) 443-1234



$325 Member
$525 Nonmember

Tuition includes CEUs, lunch and course materials.

Confirmations: A confirmation will be sent to all registrants who register at least one week in advance. Directions and parking information will be included.

Cancellation Policy/Late Payment: A $50 non-refundable processing fee will be retained for each cancellation. Cancellations must be made in writing seven or more business days prior to the scheduled session and faxed to (916) 552-7506. No refunds will be made after these dates. Substitutions are encouraged. Please note: payment is due one day prior to the program. Payments not received by the seminar date will be subject to a 10% late fee.

Special Accommodations or Questions: If you require special accommodations pursuant to the American’s with Disabilities Act, or have other questions, please call (916) 552-7637.


Full attendance at the educational session is a prerequisite for receiving professional continuing education credit. Attendees must sign in at the seminar and, when required, include their state bar or professional license number. CEU certificates will be e-mailed.

Compliance—This program has been approved for 7.8 Compliance Certification Board (CCB) Continuing Education Units in Compliance Training and Education and Auditing and Monitoring for Compliance. Granting of prior approval in no way constitutes endorsement by CCB of the program content or the program sponsor. CCB program code #CAHA 023. (Please note, new process: all attendees wishing to obtain CCB CEUs for this event MUST individually submit a copy of their certificate to the CCB office.)

Health Care Executives—CHA is authorized to award 6.5 hours of pre-approved Category II (non-ACHE) continuing education credit for this program toward advancement, recertification
or reappointment in the American College of Healthcare Executives.

Nursing—Provider approved by the California Board of Registered Nursing, Provider # CEP 11924, for 7.8 Contact Hours.

Quality—The National Association for Healthcare Quality has approved this program for 6.5 hours of CPHQ continuing education credit.

Risk Managers—This meeting has been approved for a total of 6.5 contact hours of Continuing Education Credit toward fulfillment of the requirements of ASHRM designations of FASHRM (Fellow) and DFASHRM (Distinguished Fellow) and towards CPHRM renewal.


Click here to view attendees for Pasadena.
Click here to view attendees for Sacramento.