Tag: Medicare

CMS extends ASC quality data reporting deadline

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced May 17 that it has extended the Ambulatory Surgical Center Quality Reporting (ASCQR) program data submission deadline from Monday, May 17, to Monday, July 19, 2021. The extension provides ASCs with more time to obtain HARP [Health Care Quality…

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By: Judy Mathias
May 19, 2021
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First assistants bring expertise and efficiency to the OR table--Part 2

First assistants (FAs) can play an important role in achieving optimal outcomes and higher surgical case volumes. Part 1 of this two-part series discussed types, education, and certification of FAs (OR Manager, May 2021, pp 1, 15-18). Part 2 answers questions related to risk management and oversight, and discusses possible…

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By: Cynthia Saver, MS, RN
May 19, 2021
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Patients deserve better healthcare price transparency

Reforms are underway to curb surprise billing practices, with new federal government regulations due to be published by July 1 as part of the No Surprises Act passed by Congress in late 2020. Among many other provisions, the new law will require insurance providers to be more transparent about prices…

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By: Elizabeth Wood
May 19, 2021
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Building a good 'marriage' with hospitals: A primer for ASCs

A global pandemic did not stop the proliferation of joint ventures between ambulatory surgery centers (ASCs) and hospitals in 2020. The trend continues in 2021, as federal regulators expand on the types of procedures that can be performed in the ambulatory setting. Hospitals are recognizing the need for a surgery…

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By: Jennifer Lubell
May 19, 2021
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US deficit in cancer screening associated with COVID-19

Editor's Note This study led by researchers at the University of Kansas Medical Center, Kansas City, finds a sharp decline in breast, colorectal, and prostate cancer screening rates in 2020. This analysis of data on 60 million people in Medicare Advantage and commercial health plans across the US shows that…

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By: Judy Mathias
May 5, 2021
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Hospitals ramp up outpatient TJA in the COVID-19 era

Fueled by a pandemic, patient demand, and competition with ambulatory surgery centers (ASCs), hospital outpatient department (HOPD) leaders are feeling the push to offer same-day discharge for total joint arthroplasty (TJA). Outpatient TJA is nothing new, but it’s certainly growing in popularity, says John W. Stirton, MD, MBA, medical director…

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By: Jennifer Lubell
March 19, 2021
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Hospital groups ask US Senate for $35B in COVID-19 relief funds

Editor's Note Nine hospital groups have asked the US Senate to add $35 billion to COVID-19 relief legislation to help them deal with financial effects of the COVID-19 pandemic, the February 25 Fierce Healthcare reports. The $1.9 trillion COVID-19 relief bill passed by the House does not include a provider…

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By: Judy Mathias
March 2, 2021
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More states report telehealth reimbursement laws

Editor's Note A Foley & Lardner survey finds that state telehealth reimbursement laws have significantly increased during the COVID-10 pandemic, but more can be done to address telehealth adoption barriers, the February 15 Revcycle Intelligence reports. More than 43 states and Washington, DC, have some telehealth statute for commercial payers,…

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By: Judy Mathias
February 18, 2021
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Joint Commission conducting both virtual and onsite surveys in 2021

The Joint Commission stopped doing most onsite surveys and reviews from March 16 to May 31, 2020, in response to the COVID-19 pandemic. During that time, they developed processes for conducting offsite or virtual events, and as of mid-December, more than 1,200 offsite surveys and reviews had been conducted across…

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By: Judith M. Mathias, MA, RN
February 17, 2021
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New year brings some changes to quality reporting criteria

The 2021 Medicare Hospital Outpatient Prospective Payment System (OPPS)/ASC Final Payment Rule was released on December 1, 2020, and became effective as of January 1, 2021. Gina Throneberry, MBA, RN, CASC, CNOR, director of education and clinical affairs, Ambulatory Surgery Center Association (ASCA), summarized the status of Medicare regulations and…

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By: Elizabeth Wood
January 19, 2021
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