Rural Health Clinic Medicare Accreditation
Learn more about AAAASF
The Gold Standard In Accreditation!
We are the Medicare Deeming Authority
for Rural Health Clinics!
About Us

Who is AAAASF?

The American Association for Accreditation of Ambulatory Surgery Facilities has accredited office-based surgery facilities and ambulatory surgery centers since 1980. AAAASF has deemed status with Medicare for ASC Accreditation and Medicare OPT Accreditation.

What is the accreditation cycle?

RHC Accreditation is a 3 year program. An inspection is performed as part of initial accreditation.

Each year prior to the date of your accreditation the clinic performs a self-inspection and submits it to the AAAASF office. Each clinic is re-inspected every 36 months.

What is the application process?

1. The clinic downloads the application materials from our website.
2. Once the application & requested documentation is complete the clinic submits the application materials and fees to the AAAASF office.
3. Within ten business days the AAAASF staff reviews the application materials for completeness and verifies the credentials of the clinical staff.
4. Once the the application materials are complete the AAAASF staff will contact the clinic and discuss their availability for an unannounced Medicare survey.
5. AAAASF contacts a surveyor and arrangements are made for the unannounced Medicare survey.
6. The surveyor reports the findings to the AAAASF office and the clinic receives a final report within 10 days of the survey.
7. If deficiencies are found the clinic has 10 calendar days to submit an acceptable Plan of Correction and 30 calendar days to submit proof to AAAASF that corrections have been made.  AAAASF then issues the recommendation for Medicare deeming using the date that full compliance was demonstrated and notifies the CMS offices accordingly.
8. If no deficiencies are found AAAASF issues the recommendation for Medicare deeming immediately and notifies the CMS offices accordingly.
9. The CMS Regional Office will release a “Tie-In Notice” to the center within 180 days which includes the CCN number and pertinent billing information.
10. The center must submit a copy of the Tie-In Notice to AAAASF at which time a certificate is released.

How much does accreditation cost?

Accreditation fees are based on the clinic FTE as reported to CMS as follows.

Less than 2 FTE $1,655 Annual Fee
2 to 4 FTE $2,095 Annual Fee
More than 4 FTE $4,000 Annual Fee
The Inspection fee is $1400

With a background in surgery facility accreditation how will AAAASF have adequate knowledge to be able to accredit rural health clinics?

From the first consideration of this project AAAASF has been working with the National Association of Rural Health Clinics to gain insight into the rural health clinic environment and to solicit expertise in the development of standards, training of inspectors, and recruitment of inspectors.

Who will actually be doing the inspections?

AAAASF prides itself in using peers to perform inspections. We will recruit inspectors from within rural health clinics. It is our goal that inspections be performed by physicians, nurses, physician assistants who work in rural health clinics and have been trained by AAAASF in the RHC accreditation standards that we have developed.

What is the value of private accreditation?

There is an immediate need for private accreditation, to meet the compliance requirement of CMS. However, the much greater value comes from the establishment of a national standard of patient safety, equitably applied across the country. Patient safety standards should be the same in very small markets as in larger markets. The interpretation of the broad conditions for coverage established by CMS will be standardized through accreditation by the RHC Accreditation Program.

An inspection in one State will be conducted the same as an inspection in all other areas of the country. This standardized approach will also lend itself to the development of national benchmarks to improve the quality of care. As the nation moves toward a performance based system of delivery of health care there will be a need for standardized measures of patient safety and service delivery.

The RHC Accreditation Program also provides a conduit for the individual clinic to have an impact on the standards and the interpretation of those standards. It is a peer based program that assures that inspectors are trained specifically to perform RHC inspections and in most instances are practitioners in their own rural health clinic.

How are inspectors chosen?

Any Nurse Practitioner, Physician Assistant, Nurse Midwife, or Physician working in a rural health clinic can volunteer to be an inspector. Inspectors are trained by RHC Accreditation Program staff and senior inspectors. To become a Certified RHC Inspector you must attend the RHC Accreditation Inspector Training Course and pass a competency examination at the completion of the course. The inspector certification is valid for three years. Certified inspectors are assigned by the RHC Accreditation Program staff. Inspectors are compensated $500 travel expenses per inspection.

If you are interested in what we can offer you, please feel free to contact us directly.  A member of our experienced team will be delighted to take your call.

We look forward to hearing from you.

Contact Information

5101 Washington Street, Suite 2F
Gurnee, IL, 60031

Phone: 888-545-5222
Fax: 847-775-1985


For more information about rural health clinics please read this downloadable fact sheet below:
Rural Health Clinic Fact Sheet

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