Tag: CMS

Comprehensive dashboards paint a fuller picture of OR performance

OR Business Performance is a series intended to help OR managers and directors improve the success of their business.   Data-rich dashboards are an effective way to communicate with surgeons and align them with OR goals, but many reporting strategies have not kept pace with changes in the surgery market.…

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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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Medicare may drop bariatric surgery center certification requirement

Supporters of the bariatric surgery facility certification established in 2006 by the Centers for Medicare and Medicaid Services (CMS) are anxiously awaiting the agency’s final ruling on whether to reverse that decision. CMS issued a proposed decision memo in June and is expected to make its final ruling by the…

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By: OR Manager
September 1, 2013
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New CMS guidelines suggest changes in advance directive policies

Ambulatory surgery patients who become incapacitated should have their wishes for care honored, the Centers for Medicare and Medicaid Services (CMS) stresses in its new guidelines. Previously, the guidelines permitted an ambulatory surgery center (ASC), for reasons of conscience or policy, to refuse to honor advance directives calling for cessation…

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By: OR Manager
July 1, 2013
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ASCs must prepare to meet latest CMS infection control expectations

A perennial concern associated with surgery is avoidance of infection. As science reveals new risks and remedies, protocols change and so do regulations. To monitor infection control at ambulatory surgery centers (ASCs), surveyors use a 15-page worksheet from the Centers for Medicare and Medicaid Services (CMS). The ASC Infection Control…

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By: OR Manager
July 1, 2013
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CMS proposes modifying ASC rule requiring staff radiology services

Many ambulatory surgery centers (ASCs) have little need for a staff radiologist because only a few procedures require on-site imaging. Yet, ASCs are subject to a rule similar to those that require hospitals to keep radiologists on staff. That will no longer be true if a proposed change takes effect…

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By: OR Manager
April 1, 2013
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2013 IPPS rule advances Medicare quality programs

Medicare’s inpatient prospective payment rule for fiscal year 2013 updates payment rates and adds to quality initiatives like value-based purchasing (VBP) and quality reporting. The rule issued August 1, 2012, takes effect October 1, 2012. Here are the highlights.   Payment rates Inpatient payment rates will increase by 2.8% for…

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By: OR Manager
September 1, 2012
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Medicare rules allow broader use of nonphysicians

Hospitals now have the flexibility under federal law to include practitioners other than physicians on their medical staffs. That’s one provision of Medicare’s revised Conditions of Participation (COP) for hospitals and critical access hospitals, which take effect July 16, 2012. The revision is the first major overhaul of the COPs…

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By: OR Manager
July 2, 2012
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CMS expert offers advice on ASC quality reporting

With the early issuance of quality reporting codes for Medicare, both ambulatory surgery centers (ASC) and the Centers for Medicare and Medicaid Services (CMS) have a chance to develop expertise in their use and to resolve any technical problems before the mandatory start date of October 1, 2012. And that…

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By: OR Manager
July 1, 2012
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Practice now applying the new ASC quality codes

While the deadline for beginning to report quality measures on Medicare claim forms is not until October 1, 2012, ambulatory surgery centers (ASCs) can start practicing. On April 1, 2012, the Centers for Medicare and Medicaid Services (CMS) released a set of reporting codes for the first 5 measures. The…

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By: OR Manager
June 2, 2012
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