Watch out for these potential problem areas
BY STEPHANIE ELLIS, RN | APRIL 2020
Several compliance issues could come up with the use of intraocular lenses (IOL) used in cataract cases performed on Medicare patients in ASCs. These compliance issues involve the use of premium lenses.
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Follow accrediting bodies’ requirements
BY RAY MARDEN | NOVEMBER-DECEMBER 2019
When a medical device arrives at an ASC it becomes subject to management under at least 14 different Elements of Performance (EP) within The Joint Commission (TJC) Environment of Care (EC) Standards, 2019 Environment of Care, Essentials for Health Care. However, it is important to understand that the requirements for all accrediting bodies stem from Centers for Medicare & Medicaid Services (CMS) guidelines and are essentially the same from a medical equipment management perspective.
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July to December 2018
BY ALEX TAIRA | APRIL 2019
Since ASCA’s last update in July 2018, healthcare organizations across the country posted 163 breaches of protected health information (PHI) affecting 500 or more individuals.
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Review state laws and AHRQ materials before creating your policy
BY NESKO RADOVIC AND SANDRA JONES, CASC | NOVEMBER-DECEMBER 2019
In rare situations, the duration of the informed consent could present an issue. Some state laws presume that a written authorization signed by the patient is valid. Some states might specify the time frame in which consent remains valid; others require that consent be obtained no more than 30 days from the procedure. Therefore, checking state regulations is essential.
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Manage payers proactively and control costs
BY ERIN PETRIE | AUGUST 2020
As the cost of delivering healthcare continues to rise, ASC reimbursement is getting tighter, necessitating even closer cost monitoring and a proactive stance on payer contracts and collection.
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Foster relationships by eliminating the guesswork
BY ROBIN NTOH | OCTOBER 2019
Relying on word-of-mouth to cultivate awareness is not enough to establish and build reputation among potential patients in today’s competitive healthcare marketplace. Patients are using various means to shop for and select their care providers, and it is helpful to have a marketing program that connects with people as they consider options.
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Risks that are uninsurable or prohibitively expensive to insure might call for alternative risk transfer
BY BENJAMIN S. TERNER | SEPTEMBER 2016
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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Congress passes site-neutral payment legislation
BY KRISTIN MURPHY | JUNE-JULY 2016
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 US House that could have impacted the ability to strike such a deal.
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