September 18, 2023

Episode 198 - News Update, Responsible Adult, HIPAA Issues, Site Neutral Payments and Focus on Payment Cycle Controls and Fraud with Alex Pirotta of triValence - September 12, 2023

1 hour 11 minutes

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]

https://www.trivalence.com/

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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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