Compliance Kit
Armed with feedback and suggestions from our facilities and surveyors, we've created the ABC Accreditation Compliance Kit— a resource designed to help make the accreditation process simple and successful whether you’re pursuing accreditation for the first time or have been accredited for years.Your online resource for sample forms, templates, checklists and articles available for you to review, use and modify to fit your facility’s needs. Simply download each item below and make it your own.
Resource Pack
Download the forms/documents below and start the journey to accreditation compliance success!
Administrative
Annual Facilities Review Checklist
OIG Annual Exclusion Checklist (AD 5.1)
Human Resources
Annual Employee Verification (HR.2, 4.1 and 4.2)
Instructions for Establishing Privileging Criteria (HR.6 and 6.1)
Individual Privileging Record Template (HR.6 and 6.1)
Employee Performance Evaluation Form (HR.7)
Assessment of Employee Continued Competency (HR.7)
Product Safety
Equipment Maintenance Log (PS.3.1 and PS.12)
Performance Management
Performance Management Checklist *NEW
Free Sample Patient Satisfaction Survey (PM.2)
How to Write and Analyze Customer Satisfaction
Guide to Patient Satisfaction Trends
Billing and Coding Error Report (PM.6)
Facility Safety
Safety Management Checklist (FS.1.1)
Fire Emergency Drill Documentation (FS.3.2.1 and 3.2.2)
Claims and Billing
Billing Education Documentation (CB.3)
Patient Chart Audit Form (CB.4 and 4.1)
Patient Care
Patient Care Communication Log
Miscellaneous
Medicare Patient Phone Surveys
Sample Referral Thank You Card
Sample Accreditation Press Release
Patient Care Facility Accreditation Guide
Your reference guide for how to get started, standards and tips for compliance.
Mastectomy Only Standards Guide
Your reference guide for how to get started, standards and tips for compliance.
Recommended Resources
Contact our Team
Tammi Richards
Director, Facility Accreditation Services
Primary contact for: facility accreditation surveyor activities, large company accreditation program, product category reporting to Medicare and customer issue resolution
Send Tammi an email
Christine Michael
Manager, Facility Accreditation
Primary contact for: accreditation application and on-site survey issues
Send Christine an email
Jamaia Johnson
Facility Accreditation Coordinator
Primary contact for: general inquiries, application assistance, survey time frames and accreditation certificate reprints
Send Jamaia an email
American Board for Certification in Orthotics, Prosthetics & Pedorthics
330 John Carlyle Street, Suite 210, Alexandria, Virginia 22314
Phone: (703) 836-7114 | Fax: (703) 836-0838 | Email: info@abcop.org
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