Ambulatory Surgery

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January 2025
Home Ambulatory Surgery

Implementation period for outpatient payment rule cut short by CMS delays

Nearly a month past the statutory November 1, 2013 deadline, the Centers for Medicare & Medicaid Services (CMS) released its final 2014 hospital outpatient and ambulatory surgical center (ASC) payment rule, CMS-1601-FC. CMS published the rule in the December 10, 2013 Federal Register. The deadline for comments is January 27,…

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By: OR Manager
January 1, 2014
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ASC industry no longer the stepchild of group purchasing organizations

Group purchasing has long been a tradition for hospitals. Now ambulatory surgery centers (ASCs) are beginning to adopt the practice, and the reason is simple: Group purchasing organizations (GPOs) are noticing their needs and recruiting them as members. “We are evolving services,” explains Randy Piper, vice president of nonacute contracting…

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By: OR Manager
December 1, 2013
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Critics call quality report changes impractical, pay updates unfair

Ambulatory surgery centers (ASCs) are asking the Centers for Medicare & Medicaid Services (CMS) to reconsider the next round of quality measures contained in the Calendar Year 2014 Ambulatory Surgical Center Payment Proposed Rule and to revisit the payment update formula.   Quality Collaboration: Revise measures In a memorandum to…

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By: OR Manager
December 1, 2013
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APIC guide highlights role of ambulatory care in disaster response

A new publication by the Association for Professionals in Infection Control and Epidemiology (APIC) zeros in on the role of outpatient care facilities in responding to disasters—specifically, how they can prevent infection in their patients, staff, and the community at large. The guide, “Infection Prevention for Ambulatory Care Centers During…

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By: OR Manager
November 1, 2013
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Survey suggests signs of improvement in ASC environment

Surgical volume is stable or increasing in nearly two-thirds of ambulatory surgery centers (ASCs), according to the 23rd annual OR Manager Salary/Career Survey. More than two-thirds (68%) of survey respondents also report that their ASCs have not experienced financial difficulties as a result of current economic conditions. These results may…

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By: OR Manager
October 1, 2013
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ASCs seek efficiencies to offset decline in reimbursement

About 70% of respondents to a nationwide survey of ambulatory surgery centers (ASCs) say they are trying to cut costs in reaction to changes brought about by healthcare reform. That’s the major finding of a nationwide survey of 359 administrators, directors, and office managers in ASCs, cancer centers, home health…

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By: OR Manager
October 1, 2013
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New quality measures, tight deadline mark CMS payment rule for ASCs

It sounds like déjà vu all over again, as Yogi Berra used to say. That is likely to be the first reaction of many ambulatory surgery center (ASC) administrators to the Calendar Year 2014 Ambulatory Surgical Center Payment Proposed Rule.   Pay formula unchanged Medicare payment updates would continue at…

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By: OR Manager
October 1, 2013
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Survey finds continued economic stress for ASCs

Although economic difficulties have started to ease in some areas of the US, many ambulatory surgery centers (ASCs) are still feeling the pinch, according to the 23rd annual OR Manager Salary/Career Survey. More than one-fourth (28%) of respondents say economic conditions have caused financial difficulties for ASCs primarily because of…

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By: OR Manager
September 1, 2013
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Careful screening and scrutiny needed to select ambulatory surgery patients

The patient, an elderly woman, arrived at Red Rocks Surgery Center in Golden, Colorado, for an ophthalmology procedure. A paraplegic, she was using a scooter chair. Administrator Jane Klinglesmith, BS, RN, CNOR, watched her checking in at the admissions desk and noticed she was on dialysis. As she approached, Klinglesmith…

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By: OR Manager
September 1, 2013
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Follow protocols when using medications from compounding pharmacies

Compounding pharmacies have long been valued for their ability to tailor prescription drugs for specific patients. More recently, they have helped conserve scarce drugs by redistributing them from larger to smaller single-use vials. For an ambulatory surgery center (ASC) that is not associated with a hospital and therefore has no…

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By: OR Manager
August 1, 2013
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