What requirement must healthcare systems meet to participate in the Medicare program?

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To participate in the Medicare program, healthcare systems must adhere to the Medicare Conditions of Participation for Hospitals. These conditions are a set of federal regulations established by the Centers for Medicare & Medicaid Services (CMS) that hospitals and certain other healthcare institutions must meet to be eligible for reimbursement under Medicare.

The Medicare Conditions of Participation outline essential requirements that ensure healthcare facilities maintain a standard level of care and operational standards. These requirements cover various aspects of hospital operations, such as patient rights, quality assessment and performance improvement, and governance, among others. By meeting these specific conditions, hospitals assure that they are providing care that is safe, effective, and in line with federal standards.

In contrast, while conditions of reimbursement, national health safety guidelines, and state compliance standards may play roles in a healthcare system's operation, they are not the primary requirements that determine eligibility for the Medicare program. Each of these areas serves different purposes and may not specifically define the baseline operational standards required for Medicare participation.

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