Spinal Surgery
Study: Better OR ventilation linked to lower SSI rates
Editor's Note This Swiss study finds that better OR ventilation properties, as assessed with a new ventilation index, are associated with lower rates of surgical site infections (SSIs) in orthopedic, spine, and cardiac procedures. Researchers calculated a ventilation index with higher values reflecting less turbulent air displacement instead of comparing…
ASCs sue over lack of spine surgery reimbursement
Editor's Note According to the February 2 Becker’s ASC Review, two ambulatory surgery centers (ASCs) recently filed lawsuits against insurance payers over reimbursement, or lack thereof, for spinal procedures. Surgery Center of Viera, based in Melbourne, Florida, filed its lawsuit January 20 against Cigna and consulting services Strategic Enterprise Solutions…
Are spinal procedures the wave of the future for ASCs?
Looking toward 2022, spine procedures are expected to drive growth and optimize performance in ambulatory surgery centers (ASCs). Michael Ast, MD, chief medical innovation officer for HSS, Hospital for Special Surgery in New York, can attest to this personally. A year ago, his father could not even walk up a…
CMS releases final Medicare payment rule for ASCs, HOPDs
Editor's Note The Centers for Medicare and Medicaid Services (CMS), on November 2, released its 2022 final payment rule for ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). The final rule increases Medicare prospective payment system rates by a net 2.0%—a combination of a 2.7% inflation update based on…
Joint Commission updates ACSS, THKR performance measures
Editor's Note The Joint Commission announced on August 25 that data collection for four new performance measures in the Advanced Certification in Spine Surgery (ACSS) program and one new performance measure in the Advanced Certification for Total Hip and Total Knee Replacement (THKR-5) program began on July 1. Programs are…
Bundled payments with copay waivers reduce surgery costs for patients, payers
Editor's Note A RAND Corporation study published in the March Health Affairs finds that health insurers and patients can achieve significant savings when they participate in a bundled payment program that waives cost-sharing for patients. Researchers examined a bundled payment program developed by a private insurer that ran from 2016…
Joint Commission offers Advanced Certification for Spine Surgery
Editor's Note The Joint Commission on February 24 announced that it will be offering an Advanced Certification for Spine Surgery (ACSS) in collaboration with the American Academy of Orthopaedic Surgeons (AAOS). The new program will be available in July to hospitals, critical access hospitals, and ambulatory surgery centers that perform…
Diligence in implant processing will decrease infection risks
Implants are foreign bodies, and they increase the risk of a surgical site infection. Processing implants requires strict adherence to the required steps because implants have sustained contact with sterile tissue. An implant is defined as a device that is placed into a surgically or naturally formed cavity of the…
Joint Commission seeks feedback on proposed requirements for spine surgery certification
Editor's Note The Joint Commission on September 23 announced that it is seeking feedback on proposed requirements for its Advanced Certification in Spine Surgery. In collaboration with the American Academy of Orthopaedic Surgeons, the Joint Commission developed the proposed spine surgery related requirements to include: program structure delivery of care…
ACS opposes proposed Medicare physician fee schedule
Editor's Note The American College of Surgeons (ACS) on August 4 announced that it is strongly opposed to the Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule proposed rule for CY 2021. In the fee schedule, which is set to take place January 1, 2021, Medicare payments will…
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