Message from the President

Orthopaedic Procedures in the ASC Setting

It doesn’t matter if you spell it orthopaedics or orthopedics, this specialty is very important to the ASC industry. As Baby Boomers, we have worn out our hyaline cartilage, torn our rotator cuffs and, in general, have worn out.

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Message from the CEO

Transparency to a T

While consumers can compare prices and make informed decisions before buying myriad products and services, cost and quality of health care services are not easily available. That needs to change.

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As I See It

Trends in Total Joint Replacement

ASCs need to prepare for tremendous outpatient growth in the sector

An aging population and high obesity rates continue to increase the prevalence of osteoarthritis and, subsequently, demand for joint replacements. In the next decade Sg2 projects 84 percent growth in hip and knee joint replacement surgery.

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Q & A

ASCA CEO Discusses Proposed 2019 ASC Payment Rule

A Q&A with Bill Prentice

On July 25, the Centers for Medicare & Medicaid Services (CMS) released the 2019 proposed payment rule for ASCs and hospital outpatient departments (HOPD). ASCA Chief Executive Officer Bill Prentice talks about the policy changes proposed and the implications of those changes for ASCs.

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ASCA 2019

Change Opioid Prescribing Habits at Your ASC

Come to ASCA 2019 to learn how

During the past several decades, the US has experienced increasing problems with opioid abuse. To counter the epidemic, we conducted a study to identify internal improvement processes throughout one of the largest orthopedic practices in the US and its affiliated ASCs to promote and drive change in opioid-prescribing patterns in their physicians.

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CMS Gives the Green Light to Exparel

Special coding considerations apply

With prescription opioid addiction surpassing epidemic proportions, any effective non-opioid pain management tool that might prevent further opioid misuse is certainly one to be embraced. According to a 2017 study by the National Safety Council, in the US, the odds of death by an opioid overdose (1:96) is more likely than death by a motor vehicle accident (1:103).

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OSHA Updates Its Regulations

Learn how to implement the revised reporting requirements

In 2013, the Occupational Safety and Health Administration (OSHA) issued a proposed rule to improve the tracking of workplace injuries and illnesses through the electronic collection of establishment-specific injury and illness data. After receiving comments on the proposal, OSHA issued the final rule that became effective January 1, 2017 (Occupational Safety and Health Administration 29 CFR Part 1904).

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HIPAA Biannual Update

July to December 2018

Since ASCA’s last update in July 2018, health care organizations across the country posted 163 breaches of protected health information (PHI) affecting 500 or more individuals.

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Doing Business

Performing TJR in the ASC Setting

Careful planning, patient selection and billing are key

“You have to change your thinking if you desire to have a future different from your present.”

—Germany Kent, print and television journalist, author, actor

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Trends in Medical Risk Transfer

Risks that are uninsurable or prohibitively expensive to insure might call for alternative risk transfer

In an ever-changing world, it is no secret that risks associated with ASCs also are evolving. Trends in medical risk transfer, however, are generally not related to ordinary risks but rather nontraditional—low frequency/high severity—risks. If these risks occur, they have the ability to bring a practice to a screeching halt. Examples of such risks include: loss or suspension of professional license, legislative and regulatory changes, cyber risk (breach of customer data and detrimental code) and related Health Insurance Portability and Accountability Act of 1996 (HIPAA) violations.

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ASCA Advocates for Fair Implementation of Section 603

Congress passes site-neutral payment legislation

On November 2, 2015, congressional leaders and the Obama administration announced a bipartisan budget agreement that would fund the federal government for two years, raise the nation’s debt ceiling and stave off Medicare premium increases for beneficiaries. The final legislation, called the Bipartisan Budget Act of 2015, responded to a number approaching fiscal deadlines and leadership changes in the House that could have impacted the ability to strike such a deal.

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Curbing the Opioid Epidemic

The role of ASCs and EHRs

Emergency rooms (ER)—where a 2016 New York Times report says up to 75 percent of visits are for pain—can be a starting point for addiction. Many patients’ initial exposure to opioids, however, is immediately following outpatient surgery.

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Take Your ASC Revenue Cycle to the Next Level

Your employees are the most important tool to success

We all know every penny counts, but the rapidly changing rules surrounding ASC reimbursement can make revenue cycle management difficult. We can be ready for whatever changes come our way if we have the right tools, anticipate and adapt. When we think “tools,” we generally think software, hardware and medical equipment, but the most important tool for an ASC’s success is something else that is sometimes forgotten. More on that later. Below are a few tips to manage your revenue cycle successfully.

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Regulatory Review

Growing Medicare’s ASC-Payable List

ASCA continues to advocate for expanded coverage

While advances in medical technology and changes in Medicare payment policy over the past four decades have expanded the list of procedures for which the Centers for Medicare & Medicaid Services (CMS) will reimburse ASCs, Medicare policies have not kept pace with innovation.

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Advocacy Spotlight

Why Advocate?

To bring the change that will help your ASC

What is advocacy? Does it even matter?

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Register Onsite at ASCA 2019

Don’t miss the ASCA 2019 Conference & Expo, May 15–18, at the Gaylord Opryland Resort & Convention Center in Nashville, Tennessee.

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Web Crawl

Get Ready for ASCA 2019 on ASCA Connect

If you are attending the ASCA 2019 Conference & Expo later this month, you have automatically been subscribed to the ASCA 2019 online community on ASCA Connect.

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