Episode 210 - AAAHC Releases V43, CMS MACs have incorrect Payment Information and focus on the 2024 Payment Rule and ASCRS and an Interview with Cristina Bentin - January 5, 2024

On this Episode of the ASC Podcast with John Goehle we discuss the Latest News, including the release by AAAHC of the V43 Standards, problems with the Medicare Administrator Contracts and 2024 Payment Rates, contagious disease outbreaks and in our focus segment we discuss the 2024 HOPD/ASC Final Payment rule, the 2024 Medicare Quality Reporting System and discuss payment and coding updates with Cristina Bentin from Coding Compliance Management.

 

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

 

Notes and Resources from this Episode:

• AAAHC - V43 was released
  • https://www.aaahc.org/news/v43-handbook-updates/
• Suffolk County health officials warn of whooping cough outbreak:
  • https://abcnews.go.com/Health/health-officials-suffolk-county-new-york-report-whooping/story?id=106060623,
  • https://suffolkcountyny.gov/Departments/Health-Services/Health-News/ArtMID/3434/ArticleID/11317/Suffolk-Health-Officials-Alert-Public-of-Rise-in-Pertussis-Case
• Pharmaceutical companies to hike prices of 500 drugs.
  • https://www.reuters.com/business/healthcare-pharmaceuticals/drugmakers-set-raise-us-prices-least-500-drugs-january-2023-12-29/.
• Mask Mandates are BACK!!
  • https://www.healthcaredive.com/news/mask-mandates-health-facilities-hospitals-nyc-covid-19-flu/703677/
• Conversation Between Alex Yampolsky and John Karwoski: 
  • https://medserverx.com/insights/missing-fentanyl-leads-to-license-suspension-at-wyoming-asc
• Interview with Cristina Bentin
  • Link to Coding Compliance Management:  https://www.ccmpro.com/

 

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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

• Infection Control Survey Tool (Used by Surveyors for Infection Control)
  • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf
• 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

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