Immediate jeopardy represents the most severe and egregious threat to the health and safety of patients and carries the most serious sanctions for providers, suppliers, and/or laboratories. The Centers for Medicare and Medicaid Services (CMS) has revised Appendix Q of the State Operations Manual which addresses immediate jeopardy.

The revision creates a Core Appendix Q that will be used by surveyors to determine when to cite immediate jeopardy. All guidance for laboratories that was previousl…

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