CMS SOM App. A, Tag A-0355

§482.22(c)(2) - Include a statement of the duties and privileges of each category of medical

staff (e.g., active, courtesy, etc.)

Interpretive Guidelines §482.22(c)(2)

The medical staff bylaws must state the duties and scope of medical staff privileges each

category of practitioner may be granted. Specific privileges for each category must clearly and

completely list the specific privileges or limitations for that category of practitioner. The

specific privileges must reflect activities that the majority of practitioners in that category can

perform competently and that the hospital can support.

Although the medical staff bylaws must address the duties and scope for each category of

practitioner, this does not mean that each individual practitioner within the category may

automatically be granted the full range of privileges. It cannot be assumed that every practitioner

can perform every task/activity/privilege that is specified for the applicable category of

practitioner. The individual practitioner’s ability to perform each task/activity/privilege must be

individually assessed.

Survey Procedures §482.22(c)(2)

Determine whether the bylaws specify the duties and scope of medical staff privileges for each

category of practitioner eligible for medical staff membership or privileges.