How to Evaluate a Hospice Accreditor

Put your experience to the test.

Hospice

Why the accreditor you choose matters for hospice providers

Choosing an accreditor isn’t simply about ensuring Medicare reimbursement and compliance with state requirements. It’s about finding clear standards, accessible guidance, and support for your commitment to operational integrity in the delivery of person-centered care.

Some commonly held beliefs about hospice accreditation can keep agencies from asking whether they’re getting the value they should expect:

Stronger operational guidance.
Stronger interdisciplinary communication.
Stronger connection between standards and daily practice.
Stronger safeguards for your agency’s future.

Myth vs. Truth

Review the eight assumptions below and consider your own experience based on the evaluation cues.

1

Myth

“All accrediting organizations (AOs) are essentially the same.”



Evaluation cue: How does your team describe the accreditation experience?

Truth

CMS requirements mean that standards are similar across AOs, but each organization has a unique approach to assessing compliance.

ACHC is known for superior customer services as exemplified by access to expertise and education throughout the term of accreditation. By prioritizing an education-driven approach, with clearly described requirements and consistency in evaluation, ACHC supports an agency’s long-term success rather than just checking boxes or looking for reasons to cite deficiencies.

2

Myth

“Switching AOs is a big lift that risks my Medicare billing.”



Evaluation cue: Does your AO offer access to a dedicated process expert?

Truth

ACHC’s onboarding process ensures a seamless transition with zero gaps in your deeming status. A dedicated Account Advisor is your resource for a streamlined application process and reliable and accessible clinical support makes the change smooth and secure.

3

Myth

“We only need to focus on accreditation every three years, when the next survey is coming.”



Evaluation cue: Does your team ramp up before each renewal survey?

Truth

Waiting to “ramp up” before a survey is poor risk management.

ACHC views accreditation as an investment in quality and operational sustainability. Free webinars and other educational offerings ensure that agencies can rely on ACHC for support as they develop staff, improve care, and ensure quality for patients and their families. We are a partner throughout the accreditation cycle.

4

Myth

"The cost of accreditation is an unpredictable, unavoidable expense.”



Evaluation cue: Can you accurately budget the cost of accreditation?

Truth

Don't confuse price with value. A higher invoice often just covers corporate overhead, not better service. When considering the true cost of accreditation, you must factor in hidden travel fees, staff time, and administrative fees to interpret vague standards.

ACHC eliminates these “hidden costs” with a flat-fee model and in-house experts who provide clear answers the first time. Additionally, ACHC includes unlimited, expert guidance from a dedicated advisor. This proactive support features readiness assessments, ensuring you’re well-prepared without needing additional resources.

5

Myth

“There’s no consistency between surveys.”



Evaluation cue: Is your team surprised by survey findings?

Truth

ACHC Surveyors undergo extensive, comprehensive initial education and then they work with a preceptor on actual surveys to ensure they understand and apply standards consistently as they collect data. Then, an ACHC review committee evaluates every survey report prior to making an accreditation decision.

And training isn’t one and done. ACHC Surveyor training is ongoing and performance is continuously evaluated.

6

Myth

“All AO surveyors are the same.”



Evaluation cue: Do your surveyors comments reflect relevant experience?

Truth

ACHC Surveyors bring years of specialized experience in hospice, having faced and understood the real-world challenges agencies encounter. They know the special skills and commitment needed for this work because they’ve honed those exact skills over years of work in hospice care. Having visited numerous agencies,ACHC Surveyors offer practical guidance on what works and what doesn't, ensuring evaluations are not only thorough but also helpful in improving your agency's operations.

7

Myth

“Surveyors decide which deficiencies to cite based on personal discretion or conflicts.”



Evaluation cue: Do your surveyors frame noncompliance as an opportunity to improve?

Truth

Surveyors are required to cite all identified deficiencies as part of their role in ensuring compliance with regulations and standards. They do not have the discretion to overlook issues based on personal judgment or conflicts.

ACHC Surveyors approach this responsibility as partners in your improvement journey, providing objective evaluations. Agencies can dispute findings and work collaboratively with surveyors to address and resolve issues, with a focus on long-term success and improvement rather than simply penalizing deficiencies.

8

Myth

“Preparing for accreditation is disruptive to our daily operations.”



Evaluation cue: Does your team go to your AO for interpretation expertise?

Truth

Preparing for and maintaining accreditation requires commitment and discipline, but it doesn't need to disrupt daily operations. ACHC offers a range of resources, such as desk reviews, policies and procedures (P&Ps), and compliance checklists, that become part of your ongoing compliance and eliminate the burden of ramping up for a survey. This approach enables agencies to maintain their focus on patient care while continuously improving their operations.

Myth

“All accrediting organizations (AOs) are essentially the same.”

Evaluation cue: How does your team describe the accreditation experience?

Truth

CMS requirements mean that standards are similar across AOs, but each organization has a unique approach to assessing compliance.

ACHC is known for superior customer services as exemplified by access to expertise and education throughout the term of accreditation. By prioritizing an education-driven approach, with clearly described requirements and consistency in evaluation, ACHC supports an agency’s long-term success rather than just checking boxes or looking for reasons to cite deficiencies.

Myth

“Switching AOs is a big lift that risks my Medicare Billing.”

Evaluation cue: Does your AO offer access to a dedicated process expert?

Truth

ACHC’s onboarding process ensures a seamless transition with zero gaps in your deeming status. A dedicated Account Advisor is your resource for a streamlined application process and reliable and accessible clinical support makes the change smooth and secure.

Myth

“We only need to focus on accreditation every three years, when the next survey is coming.”

Evaluation cue: Does your team ramp up before each renewal survey?

Truth

Waiting to “ramp up” before a survey is poor risk management.

ACHC views accreditation as an investment in quality and operational sustainability. Free webinars and other educational offerings ensure that agencies can rely on ACHC for support as they develop staff, improve care, and ensure quality for patients and their families. We are a partner throughout the accreditation cycle.

Myth

“The cost of accreditation is an unpredictable, unavoidable expense.”

Evaluation cue: Can you accurately budget the cost of accreditation?

Truth

Don't confuse price with value. A higher invoice often just covers corporate overhead, not better service. When considering the true cost of accreditation, you must factor in hidden travel fees, staff time, and administrative fees to interpret vague standards.

ACHC eliminates these “hidden costs” with a flat-fee model and in-house experts who provide clear answers the first time. Additionally, ACHC includes unlimited, expert guidance from a dedicated advisor. This proactive support features readiness assessments, ensuring you’re well-prepared without needing additional resources.

Myth

“There’s no consistency between surveys.”

Evaluation cue: Is your team surprised by survey findings?

Truth

ACHC Surveyors undergo extensive, comprehensive initial education  and then they work with a preceptor on actual surveys to ensure they understand and apply standards consistently as they collect data. Then, an ACHC review committee evaluates every survey report prior to making an accreditation decision.

And training isn’t one and done. ACHC Surveyor training is ongoing and performance is continuously evaluated.

Myth

“All AO surveyors are the same.”

Evaluation cue: Do your surveyors comments reflect relevant experience?

Truth

ACHC Surveyors bring years of specialized experience in hospice, having faced and understood the real-world challenges agencies encounter. They know the special skills and commitment needed for this work because they’ve honed those exact skills over years of work in hospice care. Having visited numerous agencies,ACHC Surveyors offer practical guidance on what works and what doesn't, ensuring evaluations are not only thorough but also helpful in improving your agency's operations.

Myth

“Surveyors decide which deficiencies to cite based on personal discretion or conflicts.”

Evaluation cue: Do your surveyors frame noncompliance as an opportunity to improve?

Truth

Surveyors are required to cite all identified deficiencies as part of their role in ensuring compliance with regulations and standards. They do not have the discretion to overlook issues based on personal judgment or conflicts.

ACHC Surveyors approach this responsibility as partners in your improvement journey, providing objective evaluations. Agencies can dispute findings and work collaboratively with surveyors to address and resolve issues, with a focus on long-term success and improvement rather than simply penalizing deficiencies.

Myth

“Preparing for accreditation is disruptive to our daily operations.”

Evaluation cue: Does your team go to your AO for interpretation expertise?

Truth

Preparing for and maintaining accreditation requires commitment and discipline, but it doesn't need to disrupt daily operations. ACHC offers a range of resources, such as desk reviews, policies and procedures (P&Ps), and compliance checklists, that become part of your ongoing compliance and eliminate the burden of ramping up for a survey. This approach enables agencies to maintain their focus on patient care while continuously improving their operations.

Read what hospice agencies have said about the experience and impact of ACHC.

“We leveraged all available tools and checklists provided on the customer portal to thoroughly prepare for our accreditation survey. Thanks to this comprehensive preparation and the surveyor’s methodical and organized approach, this was by far the most seamless, structured, and collaborative survey I have encountered in my 26-year tenure in hospice care.

The surveyor conducted the process with professionalism, patience, and a courteous demeanor as we located the requested documentation. Additionally, the standard citations issued were consistent with our own observations.

Overall, it was an extremely positive and constructive experience.”

–– Hospice of Wake County, Inc.

“We began offering hospice care in 2017 and have continued our accreditation with ACHC ever since.

The positive interactions we’ve had with their team keep us coming back. They’re knowledgeable, receptive, and responsive, and they’ve been a great partner as we’ve grown our organization. We value the relationship and look forward to continuing it.”

–– Holistic Home Care and Hospice

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