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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

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

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Accreditation Preparation | Medicare Certification | Regulatory Compliance

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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

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Accreditation

by SJones 15. April 2012 13:33

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

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Accreditation Preparation | Medicare Certification | Policy and Procedure Manuals | Regulatory Compliance | Risk Management | State Licensure

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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?

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Information System | Medicare Certification | Regulatory Compliance

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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

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