Episode 174 - Latest News and Information, and Focus on the 2023 Final CMS Payment Rule and Medicare Quality Reporting - November 15, 2022

On this Episode of the ASC Podcast with John Goehle we discuss the latest news and information, discuss some recent survey experiences and our new patron website and in our focus segment discuss the 2023 final CMS Payment rule and the updates to the Medicare Quality Reporting Program. 

 

This episode is sponsored by Surgical Information Systems, triValence and  Ambulatory Healthcare Strategies.

 

Resources from this Episode:

• CMS Fact Sheet on the 2022 Payment Rule
  • https://www.cms.gov/newsroom/fact-sheets/cy-2023-medicare-hospital-outpatient-prospective-payment-system-and-ambulatory-surgical-center-1
• CY 2023 Medicare Hospital Outpatient Prospective Payment System (PPS) and Ambulatory Surgical Center (ASC) Payment System
  • https://www.cms.gov/medicaremedicare-fee-service-paymentascpaymentasc-regulations-and-notices/cms-1772-fc
• Payment Spreadsheet with the National Rates
  • https://www.cms.gov/license/ama?file=/files/zip/2023-nfrm-addendum-aa-bb-dd1-dd2-ee-and-ff.zip

Important Resources for ASCs:

• Conditions for Coverage:

• https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150

• Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)
  • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf
  • https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som
• Policy & Memos to States and Regions
  • CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
  • https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions

Other Resources from the ASC Podcast with John Goehle:

Upcoming Conferences:

ASC Administrator’s Bootcamp:

• The ASC Industry’s leading virtual mentored training program for administrators in ASCs.  The virtual conference includes a comprehensive 4 day training program from January 24-27, 2023.  For more information - visit: https://ascpodcast.com/asc-administrators-bootcamp/

Other Links:

Get a copy of John’s most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers 

Visit the ASC Podcast with John Goehle Website

Benefits of Becoming a Patron Member

Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.   Become a member today!