CMS Revises Immediate Jeopardy Citation Guidance

CMS issued new guidance for surveyors to identify immediate jeopardy cases. CMS revised the previous version of Appendix Q to clarify and increase consistency for identifying immediate jeopardy and communicating such findings to providers, suppliers, and laboratories.

Immediate jeopardy (IJ) is a situation in which a recipient of care has suffered or is likely to suffer serious injury, harm, impairment or death as a result of a provider’s, supplier’s or laboratory’s noncompliance with one or more Medicare requirements, conditions of participation, conditions for coverage or certification. See 42 CFR § 488.1. IJ represents the most severe and egregious threat to the health and safety of recipients and carries the most serious sanctions for providers, suppliers and/or laboratories.


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