Episode 225 - Latest News and Information, CMS 2025 Proposed HOPD/ASC Payment Rule and Focus on Time-Outs - July 13, 2024

On this Episode of the ASC Podcast with John Goehle we discuss the latest news in the ASC Industry, take a preliminary look at the proposed CMS 2025 HOPD/ASC Payment Rule, Discuss our upcoming conferences and in our focus segment talk about Time Outs including an interview with Bill Duffy - who has been referred to as the “Father” of the Time-Out. 

 

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

 

Notes and Resources from this Episode:

• CMS 2025 proposed payment rule
  • https://www.cms.gov/newsroom/fact-sheets/cy-2025-medicare-hospital-outpatient-prospective-payment-system-and-ambulatory-surgical-center
• SEATTLE Plastic Surgeon Fined 5 million for falsifying reviews(Beckers ASC Review):
  • https://www.beckersasc.com/asc-news/cosmetic-asc-fined-5m-for-falsifying-reviews-intimidating-patients.html?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=0573H1191845C8E
• Gastroenterology & Endoscopy News about smoke exposure in GI endoscopy:
  • https://www.gastroendonews.com/Endoscopy-Suite/Article/05-24/endoscopy-suite-smoke-inhalation-risks-healthcare-workplace-safety/73824
• Beckers ASC Review June 25th Post Procedure Clawbacks
  • https://www.beckersasc.com/asc-coding-billing-and-collections/ascs-see-post-procedure-payer-clawbacks-intensify.html?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=0573H1191845C8E

 

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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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