Accreditation updates from The Joint Commission, CMS
Takeaways Many OR managers said they were overdue for a survey by The Joint Commission because of the pandemic. The Joint Commission is said to be 3,000 surveys behind. More checklists are being used by surveyors, which are available in The Joint Commission’s Perspectives and EC News newsletters. New in…
Federal judge declines challenge to vaccination mandate by 14 states
Editor's Note A federal judge in Louisiana declined a case brought by 14 states that challenged the Biden administration’s mandate requiring COVID-19 vaccination for eligible staff at healthcare facilities participating in Medicare and Medicaid Programs, the December 8 Becker’s Hospital Review reports. The states have 60 days to appeal the…
CMS outlines steps to improve health equity data
Editor's Note The Centers for Medicare and Medicaid Services (CMS) on November 10 issued a report outlining its plans, “for the first time,” to improve the transparency, accountability, and completeness of health equity data across its programs. “CMS defines health equity data as the combination of quantitative and qualitative elements…
CMS penalizes 2,273 hospitals for high readmission rates, lowest since 2014
Editor's Note The Centers for Medicare & Medicaid Services (CMS), through the Hospital Readmissions Reduction Program, evaluated more than 2 years of readmission cases for Medicare patients and penalized 2,273 hospitals, Kaiser Health News November 1 reports. This is the lowest number of penalties since 2014. The Hospital Readmissions Reduction…
Session: ASC Leadership Roundtable Panel, Ask the Experts
Editor's Note The last day of the OR Manager Conference saw perhaps its most inventive breakout session yet. The ambulatory surgery center (ASC) leadership roundtable panel led attendees through an education-filled hour marked by games, interaction, and trivia. “Technology is the way of the future, it is here, and we…
CMS quality reporting update for ASCs
A lot has happened with ASC quality measure reporting in the last 2 years, especially this year, says Gina Throneberry, MBA, RN, CNOR, CASC, director, education and clinical affairs, Ambulatory Surgery Center Association (ASCA). Throneberry spoke at the ASCA annual conference in April. In the Centers for Medicare and Medicaid…
The Joint Commission announces review of certain standards, requirements
Editor's Note The Joint Commission announced on September 13 that it is reviewing its standards and requirements that go beyond the Centers for Medicare & Medicaid Services (CMS) conditions of participation in the Medicare and Medicaid programs to determine whether some should be permanently retired. “As the [COVID-19 public health…
CMS updates Overall Hospital Quality Star Ratings for 2022
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on July 27 updated its Overall Hospital Quality Star Ratings for 2022—giving 429 hospitals a five-star rating, based on their performance across five quality categories, the July 27 Becker’s Hospital Review reports. There also were: 890 hospitals that received a…
CMS issues proposed rule for hospital outpatient, ASC payment rates for CY 2023
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on July 15 released its Outpatient Prospective Payment System (OPPS) proposed rule that would raise rates by a net 2.7% in CY 2023. This update is based on the projected hospital market basket percentage increase of 3.1%, reduced by 0.4%…
Lawsuit filed against UnitedHealth for underpayment of telehealth services
Editor's Note A female patient in Chicago, Illinois, filed a lawsuit on July 7 against the multinational UnitedHealth Group for alleged underpayment of telehealth services, Becker’s Payer Issues July 8 reports. The lawsuit claims that the woman’s insurance plan covers telehealth services, including pay benefits for-out-network services. After receiving out-of-network…
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