On this Episode of the ASC Podcast with John Goehle, we discuss the latest news including the Final 2024 CMS Payment Rule for ASCs and focus on the regulations related to Pharmaceutical Services and we interview pharmacist John Karwoski regarding diversion.

This episode is sponsored by Surgical Information Systems, triValence and  Ambulatory Healthcare Strategies.

Notes and Resources from this Episode:

Joint Commission Report - Preserving patient safety after a cyberattack

• https://www.jointcommission.org/-/media/tjc/newsletters/sea-67-Cybersecurity-7-26-23-final.pdf

Joint Commission Report - Wrong Site Surgery:

• https://www.beckershospitalreview.com/patient-safety-outcomes/joint-commission-study-explores-wrong-site-surgery-risk-factors-trends.html

2024 CMS HOPD/ASC Final Paymenbt Rule:

• https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc/asc-regulations-and/cms-1786-fc

John Karwowski, (JDJ Consulting):

• https://www.jdjconsulting.net/

INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE

ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs!

http://asc-central.com

Join one of our Membership Programs!

• Our Patron Program:

• Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers. 

• The ASC-Central Premium Access Program

• • A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions

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

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 

On this Episode of the ASC Podcast with John Goehle, we visit the final quarterly meeting for 2023 for the New Jersey Association of Ambulatory Surgery Centers in Kenilworth New Jersey, meet with association leadership to discuss their activities and the benefits of membership and interviewed two of the speakers about the anesthesia crisis and how their center has adapted.

This episode is sponsored by Surgical Information Systems, triValence and  Ambulatory Healthcare Strategies.

Notes and Resources from this Episode:

New Jersey Association of Ambulatory Surgery Center Website

• https://njaasc.org/

Become a Member of the New Jersey Association:

• https://njaasc.org/Join-us

Visit the New ASC Central Website!

INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE

ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs!

http://asc-central.com

Join one of our Membership Programs!

• Our Patron Program:

• Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers. 

• • A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions

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

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 

On this Episode of the ASC Podcast with John Goehle, we provide the latest news and information in the ASC Industry, review recent survey experiences, discuss Accreditation Trends and discuss the latest news from Quad A with it’s CEO Tom Terranova. 

This episode is sponsored by Surgical Information Systems, triValence and  Ambulatory Healthcare Strategies.

Notes and Resources from this Episode:

• ASC Quality – Tips and Toolkits Resource:

• • • https://www.ascquality.org/advancingascquality

• Reporting Theft/Loss of Controlled Substances:

• • • https://www.deadiversion.usdoj.gov/21cfr_reports/theft/

• A Nose for Reducing SSIs (Article on Outpatient Surgery - October)

• • • https://www.aorn.org/outpatient-surgery/the-magazine/article/a-nose-for-reducing-ssis

• Quad A - Website:

• • https://www.quada.org/

Visit the New ASC Central Website!

ASC Central, a sister site to http://ascpodcast.com that provides a link to all of our bootcamps, educational programs and membership programs!

http://asc-central.com

INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE

Join one of our Membership Programs!

• Our Patron Program:

• Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers. 

• • A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions

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

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 

On this Special Episode of the ASC Podcast with John Goehle,  we visit the New York State Association of ASCs  2023 Annual Conference held October 4 -6, 2023 in Albany New York and interview various speakers and the leadership of the association.  

This episode is sponsored by Surgical Information Systems, triValence and  Ambulatory Healthcare Strategies.

Notes and Resources from this Episode:

Information on the New York State Association of ASCs:

• Website:  http://nysaasc.org

INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE

Join one of our Membership Programs!

• • Our Patron Program:
    • Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers. 

• The ASC-Central Premium Access Program

• • A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions

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

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 

Linked In Post:

On this Special Episode of the ASC Podcast with John Goehle,  we visit the New York State Association of ASCs  2023 Annual Conference held October 4 -6, 2023 in Albany New York and interview various speakers and the leadership of the association.  

This episode is sponsored by Surgical Information Systems, triValence and  Ambulatory Healthcare Strategies.

Become a Patron Member of the Podcast!

Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.  Go to https://ascpodcast.com/membership-information/ to Become a member today!

On this episode of the ASC Podcast with John Goehle, we discuss the latest news, review the rising crisis in Anesthesia in ASCs and the supervision of CRNAs, discuss the concerns about the role of Private Equity in the Anesthesia Crisis, Celebrate Sterile Processing Week and in our focus segment, for Cybersecurity Awareness Month discuss Cybersecurity with Paul Alcock from Surgical Information Systems. 

This episode is sponsored by Surgical Information Systems.

Notes and Resources from this Episode:

Abbott Medical Recall of Proclaim Spinal Cord Stimulators

• https://www.fda.gov/medical-devices/medical-device-recalls/abbott-medical-recalls-proclaim-and-infinity-ipgs-inability-exit-magnetic-resonance-imaging-mri-mode

Texas ASC Operator to Settle False Claims Allegation

• Beckers ASC review on September 14th 2023

FTC Challenges Private Equity Firms (suppressing competition in the anesthesia market)

• https://www.ftc.gov/news-events/news/press-releases/2023/09/ftc-challenges-private-equity-firms-scheme-suppress-competition-anesthesiology-practices-across

California Medical Association reported in April 2023 that Contracted Physicians with Anthem California will be required to maintain privileges with at least one participating ASC

• https://www.cmadocs.org/newsroom/news/view/ArticleId/50123/Anthem-Blue-Cross-to-require-in-network-ambulatory-surgical-center-privileges

Focus Segment - Cyber Security Month with Paul Alcock

• Surgical Information Systems (http://sisfirst.com)

Join one of our Membership Programs!

• Our Patron Program:

• Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers. 

• The ASC-Central Premium Access Program

• • A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions

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

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 

On this episode of the ASC Podcast with John Goehle, we discuss the latest news and recent survey experiences including a discussion on dealing with a rude surveyor, and we celebrate our 200th Episode with the staff of the Podcast and the Staff of Ambulatory Healthcare Strategies and discuss current issues in ASCs.

This episode is sponsored by Surgical Information Systems, triValence and  Ambulatory Healthcare Strategies.

Notes and Resources from this Episode:

Costs for Common Health Care Procedures Significantly Higher When Performed in Hospital Outpatient Departments

• https://www.bcbs.com/press-releases/costs-for-common-health-care-procedures-significantly-higher-when-performed-in-hospital-outpatient-departments

Is office-based surgery a harbinger of things to come for ophthalmology?

• https://www.ophthalmologytimes.com/view/is-office-based-surgery-a-harbinger-of-things-to-come-for-ophthalmology-

Article in Outpatient Surgery Magazine: The Essentials of Instrument Tray Management By: Casey Czarnowski, BA, CRCST, CSPDT, CIS, CER

• https://www.aorn.org/outpatient-surgery/article/the-essentials-of-instrument-tray-management

On this our 200th Episode, we want to thank all of our employees on the ASC Podcast with John Goehle and Ambulatory Healthcare Strategies:

• The ASC Podcast with John Goehle (www.ascpodcast.com)

Join one of our Membership Programs!

• Our Patron Program:

• Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers. 

• The ASC-Central Premium Access Program

• • A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions

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

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 

On this episode of the ASC Podcast with John Goehle we visit the Ohio Association of Ambulatory Surgery Centers Annual meeting in Columbus Ohio, interview some of the speakers and exhibitors and speak with the association leadership about the conference and the value of the state association. 

This episode is sponsored by Surgical Information Systems, triValence and  Ambulatory Healthcare Strategies.

Notes and Resources from this Episode:

Join the Ohio Association of of Ambulatory Surgery Centers:

• http://www.oaasc.net/aws/OAASC/pt/sp/join

Contacts for Speakers:

• Heidi Moss (Executive Director of OAASC) - [email protected]

Join one of our Membership Programs!

• Our Patron Program:

• Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.

• The ASC-Central Premium Access Program

• A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions

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

• https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf

• CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.

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 

On this episode of the ASC Podcast with John Goehle we discuss the latest news in the ASC Industry, Review requirements for patients to go home with a responsible Adult, discuss HIPAA Issues related to AI Assistants like Siri and Alexa, Review recent discussions related to Site Neutral Payments and in our Focus Segment, discuss Payment Cycle Controls and Fraud and Abuse with Alex Pirotta of triValence.

This episode is sponsored by triValence.

Notes and Resources from this Episode:

Impact of Possible government shutdown:

• https://www.crfb.org/papers/government-shutdowns-qa-everything-you-should-know#whatservicesaffected

AI (Alexa and Siri) and HIPAA:

• https://news.northeastern.edu/2020/07/14/are-alexa-siri-and-cortana-recording-your-private-conversations/

Pain Awareness Month:

• https://www.facs.org/for-medical-professionals/news-publications/news-and-articles/press-releases/2023/three-tips-for-managing-pain-after-surgery/

AHA Response to Site Neutral Payments:

• https://www.aha.org/news/headline/2023-08-02-aha-letter-editor-site-neutral-payment-policies-fail-account-site-differences

triValence:

• Alex Pirrotta - [email protected]

Join one of our Membership Programs!

• Our Patron Program:

• Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers. 

• The ASC-Central Premium Access Program

• • A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions

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

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 

On this episode of the ASC Podcast with John Goehle we discuss the latest news in the ASC Industry,  Review takeaways from the Illinois State Association Meeting and in our focus segment, review the requirements for Credentialing and Privileging providers. 

This episode is sponsored by Surgical Information Systems, triValence and  Ambulatory Healthcare Strategies.

Notes and Resources from this Episode:

DHHS is investing more than 100 million dollars to address the nursing shortage.

• https://www.hhs.gov/about/news/2023/08/10/biden-harris-administration-announces-100-million-grow-nursing-workforce.html

 ASA guidelines on GLP 1 receptor agonists

• https://www.asahq.org/about-asa/newsroom/news-releases/2023/06/american-society-of-anesthesiologists-consensus-based-guidance-on-preoperative

Credentialing:

1. Watch our On-Demand Credentialing training program available for rent at: 
   1. https://vimeo.com/ondemand/credentialing

Join one of our Membership Programs!

• • Our Patron Program:
    • Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers. 

• The ASC-Central Premium Access Program

• • A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions

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

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 

On this episode of the ASC Podcast with John Goehle we discuss the latest news in the ASC Industry,  Discuss the recent uptick in COVID cases and remind listeners of the return to work guidelines, discuss recent survey issues including the new Medicare Ombudsman link and the requirements for BLS, ACLS and PALS certifications. In our focus segment we discuss Outsourced Billing, Coding and Collections. 

This episode is sponsored by Surgical Information Systems

Notes and Resources from this Episode:

COVID-19 Uptick

• Link to CDC Return to work Guidance: 
  • https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html#:~:text=At%20least%207%20days%20have,of%20fever%2Dreducing%20medications%2C%20and

Anesthesia Shortage

• Some links for Anesthesia Shortage Articles:
  • https://www.beckersasc.com/anesthesia/the-major-shortage-plaguing-ascs.html

Medicare Ombudsman:

• Link in the current Medicare Ombudsman Websites
  • https://www.cms.gov/center/special-topic/ombudsman/medicare-beneficiary-ombudsman-home

Outpatient Surgery Magazine

• https://www.aorn.org/outpatient-surgery/the-magazine/current-issue

Beckers ASC

• https://www.beckersasc.com/asc-news.html

Surgical Information Systems Outsourced Billing

• https://www.sisfirst.com/revenue-cycle-services

Join one of our Membership Programs!

• Our Patron Program:

• Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers. 

• The ASC-Central Premium Access Program

• A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions

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

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