ASC Podcast with John Goehle

ASC Podcast with John Goehle

By John GoehleBusinessManagement
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ASC Podcast with John Goehle episodes

  • Episode 290 - Whistleblower Verdict, a $6B ASC Buying Spree, Nonprofit ASC Profitability, and an Interview with ASCA's Kara Newbury on the National Picture and 2027 Payment Rule - October 13, 2026

    In this episode of the ASC Podcast with John Goehle, we cover a whistleblower verdict against an Optum-affiliated ASC, the $6 billion wave of ASC M&A activity, new scrutiny of nonprofit ASC profitability, the health systems racing into the ASC space, and what Joint Commission surveyors say ASCs should expect. Then John sits down with Kara Newbury, ASCA's Chief Advocacy Officer, recorded at the CASA Annual Conference in Monterey, California, for a conversation on where the ASC industry stands in Washington heading into 2027.

    This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.

    Notes and Resources from this Episode:

    Anesthesiologist wins $1.6M whistleblower verdict against Optum-affiliated ASC — Becker's ASC (September 23, 2026): beckersasc.com

    The $6B ASC buying spree — Becker's ASC (September 22, 2026): beckersasc.com

    Ambulatory Surgery Centers Show ‘Remarkably High Profitability’ — Ambulatory Surgery Center News (September 28, 2026), citing Plummer, Doyle and Bai, JAMA Health Forum: ascnews.com

    8 health systems edging ahead in the ASC race — Becker's ASC (August 25, 2026): beckersasc.com

    Joint Commission Surveyors Offer ‘Sneak Peek’ of What ASCs Can Expect — Ambulatory Surgery Center News (October 8, 2026): ascnews.com

    ANNOUNCEMENT — Live Conference Week recordings (Infection Control 101, QAPI, Article 28 Mastery) are now available for individual purchase; IC Coordinator 201 is coming shortly — Premium Access members get all four free: asc-central.com

    2026 Multi-State Virtual ASC Conference — December 3–4, 2026, free to members of participating state associations: asc-central.com/2026-multi-state-conference

    The Survey Guide — John Goehle's book on the CMS Conditions for Coverage & Interpretive Guidelines for ASCs: lulu.com

    The new ASC Central website: asc-central.com



    INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE

    ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired).

    Patron Member Program — $25/month for an individual listener who wants a richer podcast experience and wants to support the show: the resource library, weekly drop-in Zoom sessions, six recorded conferences, the member forum, the podcast library, and the electronic Survey Guide for ASCs, 2026 Edition with Appendices A–N. Become a Patron Member

    Premium Access Program — $3,995/year for the entire surgery center: education, compliance resources and staff training for ASC leaders and owners who need more support without engaging a full management or outsourced-services company. It includes the three leadership bootcamps, ASC Leadership Mastery, Infection Control 101 & 201, Annual Mandatory Education, compliance tools and self-assessments, the conference library, applicable certificates, and up to five hours of private consulting a year. Sign up for Premium Access

    Membership program details: https://asc-central.com/memberships/  |  Live Conference Week recordings: https://asc-central.com/educational-programs/

     

    Important Resources for ASCs:

    • Conditions for Coverage:
      • https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150
      • Infection Control Survey Tool (Used by Surveyors for Infection Control)
        • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf
        • Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)
          • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf
          • https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som
          • Policy & Memos to States and Regions
            • CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
            • https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions
            • Other Resources from the ASC Podcast with John Goehle:

              Visit the ASC Podcast with John Goehle Website

              Books by John Goehle

              • Get a copy of John’s most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers
              • 1 hr 1 min
              • Episode 289 – Special Episode: Live from the California Ambulatory Surgery Association Annual Conference, September 1–4, 2026, in Monterey, California - September 5, 2026

                In this special episode of the ASC Podcast with John Goehle, recorded at the California Ambulatory Surgery Association's Annual Conference, held September 1st through 4th at the Monterey Conference Center in Monterey, California, John talks to some of the speakers, and the board president. Then he walks through four sessions from the meeting — electronic distraction in the OR, emergency management and life safety, accreditation readiness, and a panel of the accrediting organizations on what they want you to know.

                This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.

                Notes and Resources from this Episode:

                California Ambulatory Surgery Association (CASA)

                Website: casurgery.org

                Annual Conference 2026 — September 1–4, 2026, Monterey Conference Center, Monterey, California

                 

                Speakers Interviewed from the Conference:

                Michelle George — general session: “Fueling Excellence: Elevate. Execute. Excel”

                Carrie Millsap — President, California Ambulatory Surgery Association; Chief Executive Officer, Monterey Peninsula Surgery Centers

                Kara Newbury, JD — Chief Advocacy Officer, Ambulatory Surgery Center Association (session: “CA and National Legislative Update”)

                David Shapiro, MD — anesthesiologist, ASC surveyor and longtime industry leader (also presented “Position Your ASC for Accreditation Success”)

                2026 Multi-State Conference — presented with the state ASC associations: asc-central.com/2026-multi-state-conference

                Sessions Recapped in This Episode:

                Peter Papadakos, MD — “Optimizing Team Performance: Managing Digital Distractions in the OR”

                Richard Parker — “Emergency Management, Physical Environment, and Life Safety in ASCs”

                David Shapiro, MD — “Position Your ASC for Accreditation Success”

                “Checkered Flag Finish: What the Experts Want You to Know” — panel of accrediting organization representatives (AAAHC, The Joint Commission, QUAD A, DNV and ACHC), moderated by Janet Miller

                ASC Quality Collaboration — nine free ASC Toolkits (endoscope reprocessing, environmental infection prevention, hand hygiene, point-of-care devices, patient falls, safe injection practices, single-use device reprocessing, sterilization and high-level disinfection, and wrong-site prevention): ascquality.org/toolkits

                CASA upcoming events: Infection Prevention Conference — November 2026, virtual [VALIDATE dates]; CASA Annual Conference 2027 — Huntington Beach, California [VALIDATE dates]

                ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs

                Tuesday, September 22 - Infection Control Oversight 101 (IC101): asc-central.com/ic101-2026

                Wednesday, September 23 - Infection Control Coordinator Training (IC 201): asc-central.com/ic201-2026

                Thursday, September 24 - Quality Improvement & Peer Review (QAPI): asc-central.com/qapi-2026

                Friday, September 25 - Article 28 Mastery, New York D&TC and ASC: asc-central.com/article-28-2026

                INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE

                ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired).

                Patron Membership — $25/month, individual: the full resource library (policies, forms, drill kits, templates), weekly drop-in Zoom sessions, all six recorded conferences, the member forum, the complete podcast library, and The Survey Guide for ASCs, 2026 Edition with Appendices A–N. Become a Patron Member

                Premium Access — $3,995/year, covering your entire surgery center (not per person): everything in Patron, plus the Administrator, Director of Nursing and Business Office Manager Bootcamps, the ASC Leadership Mastery Course, Infection Control 101 & 201 (CAIP preparation), Annual Mandatory Education, compliance tools and self-assessments, certificates with AEUs and IPCH credits, every new conference we release, and up to five hours of private consulting a year. Sign up for Premium Access

                Compare both programs: asc-central.com/memberships

                 

                Important Resources for ASCs:

                • Conditions for Coverage:
                  • https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150
                  • Infection Control Survey Tool (Used by Surveyors for Infection Control)
                    • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf
                    • Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)
                      • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf
                      • https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som
                      • Policy & Memos to States and Regions
                        • CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
                        • https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions
                        • Other Resources from the ASC Podcast with John Goehle:

                          Visit the ASC Podcast with John Goehle Website

                          Books by John Goehle

                          • Get a copy of John’s most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers
                          • 1 hr 52 min
                          • Episode 288 - Oregon Moves on Workplace Violence, AAAHC's Free AI Governance Guide, Two Insurers Steering Cases to ASCs, and an Interview with Amrit Kirpalani on AI - September 5, 2026

                            In this episode of the ASC Podcast with John Goehle, Oregon moves toward a workplace violence rule that names ambulatory surgery centers, AAAHC follows its v45 Standards with a free AI governance guide, and two Insurance plans start steering elective cases out of the hospital and into ASCs — with a health system suing over it. Then John sits down with Amrit Kirpalani, CEO of NovaNav, recorded at the Texas ASC Society meeting, for a practical conversation about where a surgery center should actually start with artificial intelligence, and the questions to ask a vendor before you sign anything.

                            This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.

                            Notes and Resources from this Episode:

                            Oregon OSHA proposes a workplace violence prevention rule covering ambulatory surgery centers - hearings August 11 and 13, comments closed August 31; adoption expected October 2026, effective January 2027 (July 21, 2026): osha.oregon.gov

                            AAAHC releases the 1095 Advance AI Governance Guide - a complimentary implementation resource for ambulatory care organizations (August 17, 2026): aaahc.org

                            AAAHC v45 Standards - AI governance framework built on leadership accountability, risk assessment, cybersecurity, human oversight and transparency; effective for surveys conducted on or after December 15, 2026 (August 18, 2026): aaahc.org

                            v45 handbooks (free digital versions for 1095 Engage users): store.aaahc.org/handbooks

                            Two Insurers Started Steering Patients to ASCs. Here's What Happened Next - Highmark and Independence Blue Cross site-of-care policies; Jefferson Health's $35.4M suit - Ambulatory Surgery Center News (August 28, 2026): ascnews.com

                            ANNOUNCEMENT - 2026 Multi-State Virtual ASC Conference, December 3-4, 2026, online, presented with the state ASC associations - free to members of participating state associations; state-association participation closes September 30: asc-central.com/2026-multi-state-conference

                            ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs

                            ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs

                            Tuesday, September 22 - Infection Control Oversight 101 (IC101): asc-central.com/ic101-2026

                            Wednesday, September 23 - Infection Control Coordinator Training (IC 201): asc-central.com/ic201-2026

                            Thursday, September 24 - Quality Improvement & Peer Review (QAPI): asc-central.com/qapi-2026

                            Friday, September 25 - Article 28 Mastery, New York D&TC and ASC: asc-central.com/article-28-2026

                            Leadership training - Administrator, Director of Nursing and Business Office Manager Bootcamps, plus the ASC Leadership Mastery Course: asc-central.com - Leadership Training

                            Guest: Amrit Kirpalani, Chief Executive Officer of NovaNav - session “AI - Who, What, Is It Covered and What Comes Next,” recorded at the Texas Ambulatory Surgery Center Society Annual Conference, Lake Conroe, Texas.

                            INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE

                            ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired).

                            Patron Membership — $25/month, individual: the full resource library (policies, forms, drill kits, templates), weekly drop-in Zoom sessions, all six recorded conferences, the member forum, the complete podcast library, and The Survey Guide for ASCs, 2026 Edition with Appendices A–N. Become a Patron Member

                            Premium Access — $3,995/year, covering your entire surgery center (not per person): everything in Patron, plus the Administrator, Director of Nursing and Business Office Manager Bootcamps, the ASC Leadership Mastery Course, Infection Control 101 & 201 (CAIP preparation), Annual Mandatory Education, compliance tools and self-assessments, certificates with AEUs and IPCH credits, every new conference we release, and up to five hours of private consulting a year. Sign up for Premium Access

                            Compare both programs: asc-central.com/memberships

                             

                            Important Resources for ASCs:

                            • Conditions for Coverage:
                              • https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150
                              • Infection Control Survey Tool (Used by Surveyors for Infection Control)
                                • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf
                                • Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)
                                  • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf
                                  • https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som
                                  • Policy & Memos to States and Regions
                                    • CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
                                    • https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions
                                    • Other Resources from the ASC Podcast with John Goehle:

                                      Visit the ASC Podcast with John Goehle Website

                                      Books by John Goehle

                                      • Get a copy of John’s most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers
                                      • 1 hr 10 min
                                      • Episode 287 – Special Episode: Live from the Texas Ambulatory Surgery Center Society Annual Conference in Lake Conroe, Texas - August 28, 2026

                                        In this special episode of the ASC Podcast with John Goehle, recorded live at the Texas Ambulatory Surgery Center Society's Annual Conference at Margaritaville Lake Resort on Lake Conroe, John brings back four conversations from the meeting — with the association's president and a board member, the CEO of an AI company working in surgery centers, a compliance attorney, and the society's executive director — for a look at what Texas surgery centers are up against and why the state association is worth joining.

                                        This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.

                                        Notes and Resources from this Episode:

                                        Texas Ambulatory Surgery Center Society (TASCS)

                                        Website: texasascsociety.org

                                        Annual Conference 2026 — August 26–28, 2026, Margaritaville Lake Resort, Lake Conroe, Montgomery, Texas

                                         

                                        Speakers Interviewed from the Conference:

                                        Adam Hornback, BSN, RN — President, Texas Ambulatory Surgery Center Society; Administrator, North Texas Team Care Surgery Center

                                        Kayla Schneeweiss-Keene, MBA, BSN, RN, CASC — Board Member, Texas Ambulatory Surgery Center Society; ASC Administrator, Mann Cataract Surgery Center

                                        Amrit Kirpalani — Chief Executive Officer, NovaNav (session: “AI — Who, What, Is It Covered and What Comes Next”)

                                        Richard Bays, JD — Attorney and Registered Nurse (general session: “Effective Compliance Program for Your ASC”)

                                        Krista DuRapau — Executive Director, Texas Ambulatory Surgery Center Society

                                        ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs

                                        Tuesday, September 22 - Infection Control Oversight 101 (IC101): asc-central.com/ic101-2026

                                        Wednesday, September 23 - Infection Control Coordinator Training (IC 201): asc-central.com/ic201-2026

                                        Thursday, September 24 - Quality Improvement & Peer Review (QAPI): asc-central.com/qapi-2026

                                        Friday, September 25 - Article 28 Mastery, New York D&TC and ASC: asc-central.com/article-28-2026

                                        INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE

                                        ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired).

                                        Patron Membership — $25/month, individual: the full resource library (policies, forms, drill kits, templates), weekly drop-in Zoom sessions, all six recorded conferences, the member forum, the complete podcast library, and The Survey Guide for ASCs, 2026 Edition with Appendices A–N. Become a Patron Member

                                        Premium Access — $3,995/year, covering your entire surgery center (not per person): everything in Patron, plus the Administrator, Director of Nursing and Business Office Manager Bootcamps, the ASC Leadership Mastery Course, Infection Control 101 & 201 (CAIP preparation), Annual Mandatory Education, compliance tools and self-assessments, certificates with AEUs and IPCH credits, every new conference we release, and up to five hours of private consulting a year. Sign up for Premium Access

                                        Visit: asc-central.com/memberships to compare both programs

                                        1 hr 38 min
                                      • Episode 286 - AAAHC v45 and the New AI Standards, Stark Law Reform, the Anesthesia Squeeze, a New ASC Central and Survey Guide, and an Interview with Amanda Penrod - August 19, 2026

                                        In this episode of the ASC Podcast with John Goehle, AAAHC has released v45 of the Standards — with brand-new Artificial Intelligence requirements and a December 15th effective date — and it's a big week around here too: a new ASC Central website, the 2026 Survey Guide, and our September conference week. Then John talks with Amanda Penrod about leading across the generations — how to mentor, retain, and get the best from a team that can span four decades of experience. Grab a coffee and join John and Sue.

                                        This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.

                                        Notes and Resources from this Episode:

                                        AAAHC Standards and Policy announcements (v45 FAQs and Policies & Procedures): aaahc.org - Standards and Policies

                                        AAAHC Achieving Accreditation - walk-through of the v45 Standards; September 14-16, 2026 (virtual) and December 10-11, 2026 (Las Vegas): aaahc.org - Achieving Accreditation

                                        FREE digital v45 handbooks for 1095 Engage users - Help Curtain (right-hand side of the screen), under “Released Handbook (Not Yet Effective)” for each program. Print editions available for preorder, delivery expected late September 2026: store.aaahc.org - v45 handbooks

                                        AAAHC has released v45 of the Standards - new Artificial Intelligence Standards in the Administration, Governance, and Credentialing & Privileging chapters (transparency, validation, data privacy and security, human oversight, bias mitigation). Effective for surveys conducted on or after December 15, 2026. Log in to 1095 Engage and select the Standards tab in your organization's Profile: 1095.aaahc.org

                                        Is Stark law reform finally on the table? - Becker's ASC (August 11, 2026): beckersasc.com

                                        62% of ASCs cancel, delay cases over anesthesia gaps - Becker's ASC (August 14, 2026): beckersasc.com

                                        Half of NPs have been burned out for more than 2 years - Becker's ASC (August 12, 2026): beckersasc.com

                                        ANNOUNCEMENT - The new ASC Central website is live: asc-central.com

                                        What is changing for current members (the old Mighty Networks site stays open through March 31, 2027): asc-central.com - What's Changing Guide

                                        ANNOUNCEMENT - The Survey Guide for ASCs, 2026 Edition - fully revised and expanded: jgoehle.com

                                        The 2026 Survey Guide on Amazon: amazon.com - The Survey Guide for ASCs (2026 Edition)

                                        ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs

                                        Tuesday, September 22 - Infection Control Oversight 101 (IC101): asc-central.com/ic101-2026

                                        Wednesday, September 23 - Infection Control Coordinator Training (IC 201): asc-central.com/ic201-2026

                                        Thursday, September 24 - Quality Improvement & Peer Review (QAPI): asc-central.com/qapi-2026

                                        Friday, September 25 - Article 28 Mastery, New York D&TC and ASC: asc-central.com/article-28-2026

                                        Leadership training - Administrator, Director of Nursing and Business Office Manager Bootcamps, plus the ASC Leadership Mastery Course: asc-central.com - Leadership Training

                                        ASC Leadership Mastery Course - 28-part video course (regulatory, clinical, staffing, financial); structured preparation for the concepts tested on the CASC exam; included with Premium Access or available separately: asc-central.com - Leadership Mastery Course

                                        Guest: Amanda Penrod, CEO and founder of RFX Solutions - “Leading Across the Generations.”

                                        INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE

                                        ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired).

                                        Patron Membership — $25/month, individual: the full resource library (policies, forms, drill kits, templates), weekly drop-in Zoom sessions, all six recorded conferences, the member forum, the complete podcast library, and The Survey Guide for ASCs, 2026 Edition with Appendices A–N.

                                        Premium Access — $3,995/year, covering your entire surgery center (not per person): everything in Patron, plus the Administrator, Director of Nursing and Business Office Manager Bootcamps, the ASC Leadership Mastery Course, Infection Control 101 & 201 (CAIP preparation), Annual Mandatory Education, compliance tools and self-assessments, certificates with AEUs and IPCH credits, every new conference we release, and up to five hours of private consulting a year.

                                        Compare both programs: asc-central.com/memberships

                                         

                                        Important Resources for ASCs:

                                        • Conditions for Coverage:
                                          • https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150
                                          • Infection Control Survey Tool (Used by Surveyors for Infection Control)
                                            • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf
                                            • Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)
                                              • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf
                                              • https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som
                                              • Policy & Memos to States and Regions
                                                • CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
                                                • https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions
                                                • Other Resources from the ASC Podcast with John Goehle:

                                                  Visit the ASC Podcast with John Goehle Website

                                                  1 hr 13 min
                                                • Episode 285 - CMS's Provider-Enrollment Crackdown, Anesthesia Stipends, a BLS Readiness Gap, a Locked Pre-Op Door, Traveling Biomed Checks, and an Interview with Pharmacy Consultants - July 18, 2026

                                                  In this episode of the ASC Podcast with John Goehle, we run through the ASC news that matters — a sweeping CMS enrollment proposal, the anesthesia squeeze, and more — plus a few things we've been seeing out in the field. Then John sits down with two veteran pharmacy consultants for a practical look at medication safety in the surgery center, from patient screening to drug diversion to malignant-hyperthermia readiness.

                                                  This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.

                                                  Notes and Resources from this Episode:

                                                  CMS seeks new powers to deny or revoke enrollment for “problematic” Medicare providers — Becker’s Hospital Review: beckershospitalreview.com

                                                  CY2027 Home Health PPS proposed rule (CMS-1844-P) — Medicare enrollment provisions (retroactive revocation, location & affiliation rules, 855B private-equity/REIT disclosure); comments due Aug 31, 2026 — CMS fact sheet: cms.gov

                                                  Elevance’s 10% out-of-network penalty — 3 payer moves disrupting ASCs, physicians — Becker’s ASC: beckersasc.com

                                                  Why anesthesia stipends could be inevitable amid outdated ASC models — Becker’s ASC: beckersasc.com

                                                  Feds: Iowa plastic surgeon defrauded Medicare through false billings — Iowa Capital Dispatch: iowacapitaldispatch.com

                                                  CMS request for information on episode-based payment for ASCs (ASCA opposed) — ASC News: ascnews.com

                                                  Companion episode: Episode 283 — Pharmacy Management and Recalls .

                                                  INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE

                                                  ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com

                                                  Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member

                                                  Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access

                                                  Compare both programs: conferences.asc-central.com/membership-programs-2

                                                   

                                                  Important Resources for ASCs:

                                                  • Conditions for Coverage:
                                                    • https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150
                                                    • Infection Control Survey Tool (Used by Surveyors for Infection Control)
                                                      • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf
                                                      • Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)
                                                        • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf
                                                        • https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som
                                                        • Policy & Memos to States and Regions
                                                          • CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
                                                          • https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions
                                                          • Other Resources from the ASC Podcast with John Goehle:

                                                            Visit the ASC Podcast with John Goehle Website

                                                            Books by John Goehle

                                                            • Get a copy of John’s most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers
                                                            • 1 hr 9 min
                                                            • Episode 284 – Special Episode: Live from the Colorado Ambulatory Surgery Center Association Conference in Golden, Colorado - July 16, 2026

                                                              In this special episode of the ASC Podcast with John Goehle, recorded live at the Colorado ASC Association's annual conference in Golden, John shares five conversations from the meeting — with association and board leaders, a cardiology-focused ASC, and a center administrator — for a look at what's driving Colorado's surgery centers and why the state conference is worth the trip.

                                                              This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.

                                                              Notes and Resources from this Episode:

                                                              Colorado Ambulatory Surgery Center Association (CASCA)

                                                              Website: coloradoasc.org

                                                              INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE

                                                              ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com

                                                              Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member

                                                              Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access

                                                              Compare both programs: conferences.asc-central.com/membership-programs-2

                                                               

                                                              Important Resources for ASCs:

                                                              • Conditions for Coverage:
                                                                • https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150
                                                                • Infection Control Survey Tool (Used by Surveyors for Infection Control)
                                                                  • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf
                                                                  • Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)
                                                                    • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf
                                                                    • https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som
                                                                    • Policy & Memos to States and Regions
                                                                      • CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
                                                                      • https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions
                                                                      • Other Resources from the ASC Podcast with John Goehle:

                                                                        Visit the ASC Podcast with John Goehle Website

                                                                        Books by John Goehle

                                                                        • Get a copy of John’s most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers
                                                                        • 1 hr 16 min
                                                                        • Episode 283 - Extreme Heat Halts Surgery, Leapfrog to Rate 4,000 ASCs, Section 504 Deadline, and Focus on Pharmacy Management - July 11, 2026

                                                                          On this episode of the ASC Podcast with John Goehle, we discuss the latest news and information, including extreme heat shutting down elective surgery at an Illinois surgery center, a federal court ruling against the Leapfrog Group and Leapfrog's plan to publicly rate nearly 4,000 ASCs later this month, recent drug recalls, and the new Section 504 accessibility requirements. In our focus segment, we discuss pharmacy management and recalls in the ASC.

                                                                          This episode is sponsored by Surgical Information Systems, RFX Solutions, MedServe and Ambulatory Healthcare Strategies.

                                                                          Notes and Resources from this Episode:

                                                                          Extreme heat forces an Illinois ASC to halt elective surgeries — Becker’s ASC: beckersasc.com

                                                                          Federal court orders the Leapfrog Group to pull hospital safety grades — Fierce Healthcare: fiercehealthcare.com

                                                                          • Pharmacy recall & shortage resources:
                                                                            • FDA Drug Recalls: fda.gov/drugs/drug-recalls
                                                                            • Drug Shortages (FDA/ASHP via ASCA): ascassociation.org/drug-shortages   |   Conditions for Coverage §416.48 (eCFR): ecfr.gov §416.48
                                                                            • John's panel — “Winning the ASC Talent War,” ASC News Investments & Operations Conference (Grand Hyatt Denver, July 8–9, 2026); full agenda: ascninvestmentsandoperations.com/2026-agenda

                                                                              Leapfrog ASC Public Reporting Program — nearly 4,000 ASCs publicly rated beginning July 25, 2026 (CMS ASCQR measures, accreditation standards, and the voluntary ASC Survey 2.0): leapfroggroup.org — ASC Program

                                                                              Look up your own center on Leapfrog's Hospital and Surgery Center Ratings site: ratings.leapfroggroup.org

                                                                              INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE

                                                                              ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com

                                                                              Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member

                                                                              Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access

                                                                              Compare both programs: conferences.asc-central.com/membership-programs-2

                                                                               

                                                                              Important Resources for ASCs:

                                                                              • Conditions for Coverage:
                                                                                • https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150
                                                                                • Infection Control Survey Tool (Used by Surveyors for Infection Control)
                                                                                  • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf
                                                                                  • Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)
                                                                                    • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf
                                                                                    • https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som
                                                                                    • Policy & Memos to States and Regions
                                                                                      • CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
                                                                                      • https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions
                                                                                      • Other Resources from the ASC Podcast with John Goehle:

                                                                                        Visit the ASC Podcast with John Goehle Website

                                                                                        Books by John Goehle

                                                                                        • Get a copy of John’s most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers
                                                                                        • 52 min
                                                                                        • Episode 282 - Deep Dive into the Proposed 2027 CMS Payment Rule, Anesthesia Stipends, the NOPAIN Act, a $12M ASC Valuation Lawsuit - July 3, 2026ment Rule - July 3, 2026

                                                                                          In this episode of the ASC Podcast with John Goehle, we cover a money-focused news segment — the anesthesia stipend crisis by the numbers, a refresher on the NOPAIN Act and the separate Medicare payment it created for non-opioid pain management, and a $12 million ASC valuation lawsuit in Iowa. We also share a few things we've been seeing in the field. Then we go all-in on the big one: CMS's just-released proposed payment rule for 2027 — the proposed ASC update, the market-basket question, the Covered Procedures List, the device and NOPAIN provisions, quality-reporting changes, and the site-of-service savings — plus the summary and spreadsheet we built — and a video walkthrough coming to conferences.asc-central.com — to help you assess the impact on your center.

                                                                                          This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.

                                                                                          Notes and Resources from this Episode:

                                                                                          • Anesthesia stipends by the numbers — Becker's ASC (June 12, 2026): beckersasc.com
                                                                                          • The NOPAIN Act and separate Medicare payment for non-opioid pain management — ASC News: ascnews.com
                                                                                          • NOPAIN Act — CMS, Non-Opioid Treatments for Pain Relief (payment details, 42 CFR 416.174): cms.gov
                                                                                          • Iowa health system and physician group sue over a $12M ASC valuation gap — Becker's ASC: beckersasc.com
                                                                                          • 2027 Proposed Rule — 
                                                                                            • Resource Library: the CMS proposed rule (CMS-1850-P) and addenda, our comprehensive written summary of the rule, the impact spreadsheet, and the video walkthrough — all gathered in one place:
                                                                                              • https://www.dropbox.com/scl/fo/j37wvj8v9h15lmbyhjri3/ABzhpV77rpOrshAXqCBv0oY?rlkey=h83k0pf1fb90lzi44463go4w9&dl=0
                                                                                              • Video Seminar - “What CMS's Proposed 2027 Payment Rule Means for Your ASC” available on demand for free
                                                                                                • https://conferences.asc-central.com/2027-payment-rule/
                                                                                                •  

                                                                                                  INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE

                                                                                                  ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com

                                                                                                  Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member

                                                                                                  Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access

                                                                                                  Compare both programs: conferences.asc-central.com/membership-programs-2

                                                                                                   

                                                                                                  Important Resources for ASCs:

                                                                                                  • Conditions for Coverage:
                                                                                                    • https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150
                                                                                                    • Infection Control Survey Tool (Used by Surveyors for Infection Control)
                                                                                                      • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf
                                                                                                      • Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)
                                                                                                        • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf
                                                                                                        • https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som
                                                                                                        • Policy & Memos to States and Regions
                                                                                                          • CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
                                                                                                          • https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions
                                                                                                          • Other Resources from the ASC Podcast with John Goehle:

                                                                                                            Visit the ASC Podcast with John Goehle Website

                                                                                                            Books by John Goehle

                                                                                                            • Get a copy of John’s most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers
                                                                                                            • 57 min
                                                                                                            • Episode 281 - Surgery Partners Rejects Buyout, Recruitment Challenges, Chasing Volume, and an Interview with Terry Bohlke - June 30, 2026

                                                                                                              In this episode of the ASC Podcast with John Goehle, we cover the latest ASC industry news — Surgery Partners rejecting a $3.2 billion buyout from Bain Capital to stay independent, new VMG Health data on surgeon recruitment and the shift in anesthesia staffing, and a leadership piece on why “chasing volume” can be a surge to the bottom. We also share recent experiences from the field on board certification versus medical-staff bylaws, what surveyors are focusing on right now, and how preparation paid off during a real emergency. Then, in our focus segment, John sits down with Terry Bohlke for an interview on “Leadership in the Trenches.”

                                                                                                              This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.

                                                                                                              Notes and Resources from this Episode:

                                                                                                              • Surgery Partners rejects Bain Capital buyout — Becker’s ASC (June 2026)
                                                                                                              • North Star Health Alliance to close its Watertown ASC & orthopedic group — Becker’s ASC: beckersasc.com
                                                                                                                • beckersasc.com
                                                                                                                • Biggest physician risks facing ASCs in 2026 (VMG Health survey) — Becker’s ASC  |  Anesthesia staffing models — Becker’s ASC   |   Chasing volume is a “surge to the bottom” — Becker’s ASC
                                                                                                                  • beckersasc.com/asc-news
                                                                                                                  • Guest: Terry Bohlke — “Leadership in the Trenches”
                                                                                                                  • INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE

                                                                                                                    ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com

                                                                                                                    Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member

                                                                                                                    Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access

                                                                                                                    Compare both programs: conferences.asc-central.com/membership-programs-2

                                                                                                                     

                                                                                                                    Important Resources for ASCs:

                                                                                                                    • Conditions for Coverage:
                                                                                                                      • https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150
                                                                                                                      • Infection Control Survey Tool (Used by Surveyors for Infection Control)
                                                                                                                        • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf
                                                                                                                        • Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)
                                                                                                                          • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf
                                                                                                                          • https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som
                                                                                                                          • Policy & Memos to States and Regions
                                                                                                                            • CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
                                                                                                                            • https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions
                                                                                                                            • Other Resources from the ASC Podcast with John Goehle:

                                                                                                                              Visit the ASC Podcast with John Goehle Website

                                                                                                                              Books by John Goehle

                                                                                                                              • Get a copy of John’s most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers
                                                                                                                              • 46 min

                                                                                                                              About ASC Podcast with John Goehle

                                                                                                                              From the publisher's feed

                                                                                                                              A podcast for Freestanding Ambulatory Surgery Centers with Industry Leader John J. Goehle, MBA, CASC, CPA. Mr. Goehle is the author of 10 books about the ASC industry and a frequent speaker at…

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