CMS will resume routine inspections of all providers, suppliers
Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced August 17 that it will resume routine inspections of all Medicare and Medicaid certified providers and suppliers. CMS suspended certain routine inspections as part of its response to the COVID-19 pandemic to prioritize infection control and immediate jeopardy situations…
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…
CMS releases 2021 proposed payment rule for ASCs, HOPDs
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on August 4 released the 2021 proposed payment rule for ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). Among the proposals in the rule: CMS proposes to expand the number of procedures that Medicare would pay for when performed…
Preoperative protocols enhance outpatient total joint outcomes
On January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) began reimbursing healthcare providers for total hip arthroplasty performed in outpatient hospital settings and total knee arthroplasty in ambulatory surgery centers (ASCs), thereby opening the floodgates for explosive growth in outpatient total joint arthroplasty (TJA). About a million…
US House of Representatives moves to expand the use of telehealth beyond COVID-19
Editor's Note Leaders of the US House of Representatives telehealth caucus introduced legislation on July 16 to permanently open up access to telehealth services for Medicare patients, the July 16 Fierce Healthcare reports. The bipartisan bill will eliminate restrictions on use in Medicare patients, and it will provide a bridge…
Joint Commission revises standards to align with CMS requirements
Editor's Note The Joint Commission announced July 1 that it has made two sets of standards changes for deemed-status hospitals and critical access hospitals. The first set of changes, which went into effect July 1, was made in response to hospital deeming renewal applications with the Centers for Medicare &…
CMS issues call to action based on new COVID-19 data for Medicare patients
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on June 22 called for a renewed commitment to value-based care based on Medicare claims data that provides an early snapshot of the effect of the COVID-19 pandemic on the Medicare population. Medicare patient data, from January 1 to May…
Joint Commission: Special COVID-19 equipment, utilities ITM survey considerations
Editor's Note The Joint Commission announced June 17 that it has resumed limited survey activities this month, and that scoring of items that are not compliant will not be the primary focus during the COVID-19 public health emergency. However, the Joint Commission says, there are several elements of performance (EPs)…
ASC offsets some revenue loss through 'Hospital Without Walls' waiver
Far fewer cases of COVID-19 have been seen in rural areas of the US than in large urban populations. But even healthcare facilities not inundated with COVID-19 patients have sustained revenue losses and disruptions in standard procedures. One major advantage for Heartland Surgery Center in Kearney, Nebraska, was seeing the…
CMS releases reopening guide for non-emergent care
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on June 9 released a guide for healthcare facilities to resume in-person, non-emergent, non-COVID-19 services in states and regions with no evidence of COVID-19 resurgence. Recommendations include: designating separate areas for COVID-19 care establishing non-COVID-19 care zones where patients can…
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