SA Survey Team Workload

2705 - SA Survey Team Workload (Rev. 123, Issued: 10-03-14, Effective: 10-03-14, Implementation: 10-03-14) The Survey Team Composition and Workload Report (also referred to as the “CMS-670” report) is an integral part of the overall survey process. The SA completes this form for all survey and/or resurvey activities as it provides necessary information on resource use applicable to survey activity of all Medicare, Medicaid-only, and dual participating providers and suppliers and CLIA laboratories. The SA follows these guidelines in completing this report: • If a survey does not include an onsite visit, do not enter arrival, departure, onsite, and travel dates or times on the 670. Enter all other appropriate fields; • Include on the 670 the time spent by surveyors-in-training who have a surveyor ID number. However, if the trainee simply observes a survey, exclude his/her time from the form; • Report only direct, survey-related time on the 670. This includes data entry and supervisory review time. Do NOT include general administrative time, such as time spent logging onto the CMS Data Center; • The Type of Survey and Extent of Survey boxes are not required for data entry. However, complete these boxes on the 670 since the information may be helpful; • On a combined certification/State licensure survey, enter the total time (Federal and licensure) spent on various phases of the survey, even if you conduct the certification survey first, followed by the licensure survey (or vice versa); • Do not complete the 670 for visits conducted solely for licensure purposes; • Treat multiple complaints investigated at the same time as one complaint survey and enter on one 670; • If complaints are conducted concurrently with a recertification survey or follow up, report the complaint on a separate 670; • Include in Column D time spent reviewing complaints in-office as pre-survey preparation hours if a complaint survey is subsequently conducted; • Prospective Payment System (PPS) surveys are not entered into CASPER. Therefore, do not complete Form CMS-670 for PPS surveys; • Prepare separate 670s for all health, LSC, complaint investigation, and Federal Monitoring Surveys (FMS); • In cases where the same surveyor performs both health and LSC activities, time that cannot be specifically attributed to one survey or the other must be equally split between the two 670s (one for health and one for LSC); • Supervisory review time reported on the 670 is that level of routine review normally conducted on all survey reports. It does not include special quality assurance committee review, team leader review, or team review; • Do not record time spent tracking nurse aide training and competency reviews on the 670; • In computing travel time, report the lesser of time spent in travel from either the surveyor’s home to site or office to site; • Enter on the 670 under the appropriate surveyor ID number the time supervisors spend participating in a survey (conducting reviews, exit conferences, etc.); • Assign SA consultants identification numbers in the event that they participate in surveys. Their time should be included on the 670 if they participate; • If more than 10 surveyors participate in a survey, use continuation forms to input survey data into the system. The CASPER system has been reconfigured to accept up to 990 surveyors. • If errors are made in data entry, change the information by accessing ASPEN • For supervisors who review a CHOW in house, DO NOT enter the time in ASPEN, unless a survey is conducted in conjunction with the CHOW; • Do not enter QIO staff on the 670 since they are not part of the survey staff; • Use the 670 only for collecting time spent preparing for, conducting, and finalizing a survey of a facility. Do not capture time spent in hearings after a survey has been completed on the 670; and • Record travel to a patient’s home as well as time spent in the patient’s home on an HHA survey as onsite time, not travel time.