Take the Guesswork Out of CMS Compliance

Developed through hundreds of hours of regulatory research and analysis, our CoP Crosswalk Libraries transform complex CMS Conditions of Participation into a practical roadmap for policy development and survey readiness. Each crosswalk identifies required and recommended policies, maps them directly to the applicable federal regulations, highlights key compliance topics, and outlines the evidence surveyors commonly request— saving your organization valuable time while strengthening regulatory confidence.

Download the FREE Patients Rights (High Risk) Chapter

The CMS Policy List Hospital Leaders Have Been Asking For—Finally Created

Throughout my career as a healthcare consultant and hospital nursing leader, I repeatedly heard the same question: “Can you give us a complete list of the policies and procedures CMS expects us to have?”

That list did not exist — so I created it.

I’m Dr. Tiffany Thompson, DNP, RN, CPHQ, and I invested hundreds of hours reviewing and interpreting the CMS Conditions of Participation to identify the compliance topics hospitals should address through policies, procedures, plans, processes, and other written evidence.

These comprehensive regulatory crosswalks do the time-consuming work for you. They help your organization quickly identify documentation gaps, prepare stronger evidence of compliance, and reduce the risk of preventable survey deficiencies — without requiring your team to navigate hundreds of pages of complex federal regulations.

Four Bundles. One Clear Path
to Compliance.

A Small Investment Before Survey. A Significant Savings After.

A single survey deficiency can trigger urgent policy revisions, staff reeducation, extensive auditing, consultant expenses, follow-up surveys, and weeks or months of corrective work.The CMS CoP Crosswalk Library helps you identify missing or incomplete documentation before surveyors do. For a fraction of the cost of remediation, your organization gains a clear roadmap to stronger compliance and greater survey readiness.

Build a strong foundation for organizational accountability and regulatory compliance. This bundle addresses the essential structures, responsibilities, and documentation expectations that guide hospital governance, performance improvement, medical staff oversight, and health information management.

Includes: Governing Body, Quality Assessment & Performance Improvement, Medical Staff, Medical Records, and Utilization Review.

Governance, Leadership & Operational Oversight

Strengthen protections for patients and prepare for scrutiny in some of the most complex and high-risk areas of hospital operations. This bundle helps organizations identify the policies, processes, safeguards, and supporting evidence needed to demonstrate compliance in specialized programs and patient-centered care.

Includes: Infection Control, Swing Beds, Psychiatric Medical Records, and Psychiatric Services

Patient Safety, Rights & High-Risk Programs

A comprehensive roadmap for the clinical services most directly involved in patient care. This bundle helps nursing and clinical leaders evaluate required documentation, clarify operational expectations, identify gaps, and prepare evidence across the continuum of hospital-based services.

Includes: Nursing Services, Pharmaceutical Services, Discharge Planning, Surgical Services, Anesthesia Services, Nuclear Medicine Services, Outpatient Services, Emergency Services, Rehabilitation Services.

Clinical Care & Nursing Operations

Bring often-overlooked regulatory requirements into clear focus. This bundle organizes the CMS expectations governing the diagnostic, environmental, nutritional, and specialized support services that are essential to safe, compliant hospital operations.

Includes: Radiologic Services, Laboratory Services, Physical Environment, Food and Dietary Services, and Organ, Tissue, and Eye Procurement

Diagnostic Support & Ancillary Services

The complete collection of all CMS Hospital Conditions of Participation in one comprehensive library. Purchase the entire library and receive a 40% Savings! This library includes more than 1,800 regulatory compliance topics, required and recommended policies, CFR references, key operational focus areas, and the evidence CMS surveyors commonly request — providing a complete roadmap for policy development and survey readiness.

The Full Conditions of Participation Library

Need support in one specific regulatory area? Each Condition of Participation chapter is available for individual purchase, allowing you to focus on the services, compliance gaps, or survey priorities most relevant to your organization. Get the same detailed regulatory crosswalk without purchasing an entire bundle.

Individual CoP Chapters

What Your Organization Gains

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Save Hundreds of Hours

Eliminate the time-consuming work of searching through hundreds of pages of federal regulations and interpretive guidance. The requirements have already been reviewed, interpreted, and organized for you.

Identify Gaps Before Surveyors Do

Quickly compare CMS expectations against your organization’s current policies, procedures, plans, processes, and supporting documentation to uncover potential vulnerabilities before a survey.

Reduce the Risk of Avoidable Deficiencies

Strengthen documentation readiness and reduce the likelihood of deficiencies related to missing, incomplete, outdated, or insufficiently implemented policies and procedures.

Know What Evidence to Prepare

Go beyond the written regulation with practical guidance on the policies, operational processes, records, data, and additional evidence surveyors may request.

Give Leaders a Clear Roadmap

Provide department leaders with an organized framework for understanding their responsibilities, evaluating readiness, assigning ownership, and closing identified gaps.

Connect Every Requirement to Its Source

Easily trace each compliance topic to the corresponding Code of Federal Regulations and CMS survey tag for faster verification, education, and policy reference.

Strengthen Survey Readiness Across the Organization

Use one consistent resource to support gap assessments, policy reviews, leadership education, mock surveys, internal audits, and ongoing compliance monitoring.

Approach Compliance With Greater Confidence

Replace uncertainty and assumptions with a clear, actionable understanding of what CMS expects and how your organization can demonstrate compliance.

Your hospital cannot afford to leave CMS compliance to assumption. Maybe you are preparing for an upcoming survey, reviewing outdated policies, trying to close documentation gaps, or simply wondering whether every regulatory requirement has been addressed.

I created the CMS CoP Crosswalk Library because hospital leaders repeatedly asked for a comprehensive list of the policies, procedures, plans, and processes CMS expects, but that resource did not exist. So, I invested hundreds of hours reviewing and organizing the requirements into one clear, practical roadmap.

If you are ready to stop searching, reduce uncertainty, and identify potential gaps before surveyors do, this is your next step. The research has been done. The requirements have been organized. Now your team can move forward with greater clarity, confidence, and survey readiness.