July 19, 2023

Episode 193 - News Update and 2023 CMS Proposed HOPD/ASC Payment Rule and ASCQR changes, July 18, 2023

55 minutes

On this episode of the ASC Podcast with John Goehle we discuss the latest news in the ASC Industry and in our focus segment, discuss the proposed CMS 2024 HOPD/ASC Payment Rule including the proposed changes to the ASC Quality Reporting Program.

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

Notes and Resources from this Episode:

Beckers ASC review – N Carolina physician found guilty of reusing single use devices

https://www.beckersasc.com/asc-news/north-carolina-physician-sentenced-to-25-years-in-prison-for-reusing-single-use-medical-devices.html?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=0573H1191845C8E

Physician pay cuts

https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2024-medicare-physician-fee-schedule-proposed-rule

Violence against HCW- hand surgeon shot

https://www.beckersspine.com/orthopedic/57319-aaos-renews-call-to-protect-healthcare-workers-in-wake-of-fatal-shooting.html?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=5567B4088734C3Z

https://www.aaos.org/quality/quality-programs/quality-toolkits/?embed_path=modexm%253DEmbed

Focus Segment - 2023 Payment Rule

CMS Summary:
- https://www.cms.gov/newsroom/fact-sheets/cy-2024-medicare-hospital-outpatient-prospective-payment-system-and-ambulatory-surgical-center

Actual Payment Proposal:

https://public-inspection.federalregister.gov/2023-14768.pdf

Link to the Addendum:

https://www.cms.gov/license/ama?file=/files/zip/2024-nprm-addendum-aa-bb-dd1-dd2-ee-and-ff.zip

Link to the OAS CAHPS Website:

https://oascahps.org/

2023 Multi-State Virtual ASC Conference

https://vimeo.com/ondemand/2023ascmultistate

The Complete Recording of the Two-Day 2023 Multi-State Virtual ASC Conference is now available for your convenience! Couldn't make it to the live conference? No worries! We've got you covered with recordings of all eight enlightening 2-hour sessions. Attending live conferences can be expensive and time-consuming for your staff. That's why we're offering an incredible opportunity to access the conference recordings right from your facility for just $299.99!

Discover more about the conference and explore the detailed agenda by visiting: https://ascpodcast.com/2023_multistate/

This comprehensive program has received approval for up to 16.0 hours of AEUs (for CASC Certificants) and up to 4.0 hours of IPCHs (for CAIP Certificants) by BASC Provider #2618.

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:

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The ASC-Central Premium Access Program

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https://asc-central.com/landing/plans/279136

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