May 02, 2023

Episode 185 - Latest News and Experiences on Surveys, CDC Change to EUA and Focus on Billing and Coding with Cristina Bentin - April 30, 2023

1 hour 10 minutes

On this Episode of the ASC Podcast with John Goehle we discuss the Latest News, Recent experiences on Surveys, and update on the Emergency Use Authorizations for the COVID-19 Vaccines, and in our focus segment interview Cristina Bentin with Coding Compliance Management about current coding and billing challenges

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

Resources from this Episode:

Prior Authorization for United Healthcare GI Cases:
- https://associationdatabase.com/aws/OAASC/pt/sd/news_article/506938/_PARENT/layout_details/true

https://www.uhcprovider.com/en/resource-library/news/2023/new-requirements-gastroenterology-services.html

FDA authorizes changes to simplify use of bivalent mRNA COVID-19 vaccines

https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/pfizer-biontech-covid-19-vaccines

Contact Cristina Bentin:

Cristina Bentin, CMA, CPPM, CCS-P, COC

President, Coding Compliance Management, LLC

225.405.7315 mobile

225.752.8390 office

Email: [email protected]

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

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