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About ASC's

ABOUT ASC's is a blog setup to provide ambulatory healthcare professionals the opportunity to share ideas, post questions and reach out to peers for information on: improving patient care and safety, meeting regulatory compliance, risk management, licensing, policies and procedures,information systems, and daily operational questions. This blog is provided and supported by Ambulatory Strategies, Inc. as a service to our clients and friends.

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ABOUT ASC's

Radiologists No Longer Need on ASC Staff

by DRauber 12. July 2014 10:29
New policies for radiology supervision being sent to clients this week. Thank goodness, a radiologist does not need to be on staff to do radiology safety and oversight!

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Medicare Quality Reporting for ASC's - Are You Ready

by DRauber 14. December 2012 06:41

ASC's started reporting Quality Data to Medicare on Oct. 1st.  Is the staff properly collecting all the data efficiently?  The attached link provides some helpful hints to insure success.

Ambulatory_Strategies_Quality_Reporting.pdf

G-Codes Are Now Required to Report Quality Data: Are You Ready?

by DRauber 1. October 2012 11:17

As ambulatory surgery centers start reporting Medicare quality on Oct. 1, 2012, they are taking on a new responsibility. Staffs are now expected to report G codes on a few outcomes and process of care – a list that will be expanded later on. ASCs that fail to report G codes on a minimum number of Medicare claims will face a financial penalty of 2% of the Medicare payments starting in 2014. 

To be successful with this new duty, staff will have to learn how to select the correct G codes and keep on top of Medicare cases to make sure the right G codes are reported. Since this is a new function, you will need to designate which personnel in your facility will report the G codes. 

G codes: the basics   

A total of 12 G codes cover five claims-based measures. In addition to one process-of-care measure – administration of IV antibiotics – there are four adverse outcomes to report: patient burn, patient fall, transfer to the hospital and wrong site, wrong side, wrong patient, wrong procedure or wrong implant.

 

When you report G codes, you will need to use at least two per case. Typically, you will be using G 8907, to indicate that none of the four adverse events occurred, and then you will need to choose a second code covering use of the prophylactic IV antibiotic. You will be choosing from among three possibilities – G 8916, 8917 or 8918 – indicating that the antibiotic was given on time, not given on time or not given at all.

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50% Rule Impact in ASCs

by DRauber 8. May 2012 09:12
I am not convinced of the need for a EHR in all ACSs.  In the case of a Eligible Provider who practices at a ASC in addition to other locations at least 50% of their patient encounters must occur at a location or locations that have a certified EHR installed.  All locations are not required to have a certified EHR installed. A physician who spends 70% of his/her time in a location or locations that have a certified EHR would be eligible to demonstrate meaningful use for patients seen at the locations with a certified EHR installed and would not report the patient encounters (30%) in the ASC.  Now if we reverse this logic with 70% of the patients seen in the ASC and 30% seen in other locations qualifying for meaningful use becomes more complicated particularly if the ASC does not have a certified EHR installed.  To qualify the physician must have access to a certified EHR and have at least 50% of patient encounters documented in a EHR.   In a multi-specialty ASC not all physicians may want or have a need for a certified EHR installed in the ASC.  Some may already meet the 50% rule at other locations, others may have elected not to participate.  I am of the opinion that if a physician needs ASC patient encounters to meet the 50% rule they should bring their certified EHR with them to the ASC thru remote access.  It would be no different than what many vendors offer today thru cloud computing.  I would think that if the physician can clearly meet the documentation requirements for meaningful use thru remote access to a certified EHR they should be eligible for the meaningful use incentives.   

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Information System | Regulatory Compliance

Accreditation

by SJones 15. April 2012 13:33

How do you connect QAPI, Infection Control, and Risk Management in your surgery center?

G Codes

by SJones 15. April 2012 13:25
CMS rules for reporting ASC quality measures were released. Have you decided how clinical data will get to the biller to submit surgery center claims?

FSASC Quality & Risk Management Conference

by DRauber 9. April 2012 16:18

Hear Sandra Jones at:

FSASC Quality & Risk Management Conference

April 12 - 13, 2012
Rosen Shingle Creek Hotel 
Orlando, FL

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Opening for ASC Administrator on Florida's West Coast

by DRauber 3. April 2012 14:28

Opening for an RN to be Administrator of two ASCs owned by Ortho and Pain physician practice in Bradenton, Florida. ASCs have good clinical team leaders at each site and new support of management company.  Administrator must know staffing, supply management and be willing to learn accreditation and regulatory compliance. Contact Sandra Jones at sjones@aboutascs.com.

 

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General

Key Components of a Operational Audit

by DRauber 12. March 2012 09:17

An operational audit should include these components

  • Compliance with CMS regulations
  • Opportunities for enhanced revenue stream
  • Updates on trends with contracts on a national level
  • Out of  network billing trends/opportunities
  • Coding and charging audit
  • Information system review and recommendations
  • A/R enhancement and collection opportunities
  • Opportunities for further cost containment in all expense areas and inventory control
  • Clinical and staffing ratios/ performance: FTE calculations
  • Both clinical and financial benchmarking compared to best practices.

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Financial Planning | Regulatory Compliance

Improve ASC Profits

by DRauber 10. March 2012 05:33
Evaluate and compare the highest revenue, most frequent procedures, highest supply costs and highest staff cost procedures.  Break down top 10 CPT codes by doctor and convert to cost per procedures.  Compare your costs per procedure to "best practices" benchmarks.  Determine the best way to influence efficiency, maintain high quality, and reduce costs.

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Financial Planning

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