Early Option Surveys (EOS) are conducted for organizations that are not accredited by the AAAHC and meet AAAHS eligibility criteria, but have been providing services for fewer than six months.
Such organizations (1) must meet laws or regulations that require accreditation before the facility can legally begin operations; or (2) are newly constructed, operational, and require accreditation for third-party reimbursement, and a six-month wait for a survey would entail financial hardship.
The organization must complete an Application for Survey and meet the following requirements before an EOS survey can be scheduled:
After review of the completed Application for Survey and supporting documentation, the AAAHC will contact the organization to establish survey dates.
Initial accreditation surveys are conducted for:
- Organizations that are not currently accredited by the AAAHC and have been providing services for at least six (6) months before the on-site survey.
- Organizations with expired AAAHC accreditation that are again seeking accreditation through AAAHC.
Organizations must complete an Application for Survey for their initial survey. After review of the completed Application for Survey and supporting documentation, the AAAHC will contact the organization to establish survey dates.
Re-accreditation surveys are conducted for organizations that are currently AAAHC-accredited and seek continuation of accreditation following a three-year term.
Interim surveys are conducted for organizations that are currently AAAHC-accredited and for which oversight is required to assess ongoing compliance with the accreditation Standards.
The Accreditation Association has been granted "deemed status" by the Centers for Medicare & Medicaid Services (CMS) for Ambulatory Surgery Centers (ASC) and also for HMOs and PPOs that participate in the Medicare Advantage program. As a result, ASCs and HMOs/PPOs have the option to choose an accreditation survey using the AAAHC Standards in the Handbook, or to choose the AAAHC/Medicare deemed status survey that includes a review of applicable Medicare requirements.
Information on Medicare Deemed Status Surveys for ASCs
Information on Medicare Advantage Surveys for Managed Care Organizations
To support the AAAHC's ongoing quality assurance initatives, an accredited organization may be selected for a ramdom survey from 9 to 30 months after an accreditation survey. Random surveys are unannounced. Organizations are selected on a proportionate basis across practice settings, geographic ares and accreditation decision categories. These unannounced surveys, which are conducted by one surveyor and may last one full day, are a means by which the AAAHC can evaluate the consistency and quality of its program, while also demonstrating to the public and regulators that accredited organizations remain committed to the AAAHC Standards throughout the accreditation cycle. Random surveys also provide the AAAHC and its surveyors with opportunities to further consult with accredited organizations in the interval between regular surveys. No fee shall be charged to the organization when a random survey is conducted.
Discretionary surveys are conducted "for cause," when concerns have been raised about an accredited organization's continued compliance with AAAHC Standards. An accredited organization may undergo a discretionaery survey at any time, without advance notice, and at the discretion of the AAAHC. A fee may be charged to the organization when a discretionary survey is conducted.