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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.
Tags: G codes, Quality reporting, Medicare compliance
Accreditation Preparation | Medicare Certification | Regulatory Compliance
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.
Tags: G Codes, CMS, surgery center, Quality
Tags: Medicare, surgery center, CMS
Information System | Regulatory Compliance
How do you connect QAPI, Infection Control, and Risk Management in your surgery center?
Tags: infection control plan, QAPI plan, risk management, Medicare, CMS
Accreditation Preparation | Medicare Certification | Policy and Procedure Manuals | Regulatory Compliance | Risk Management | State Licensure
Tags: G Codes, CMS, Medicare, Quality, surgery center
Information System | Medicare Certification | Regulatory Compliance
April 12 - 13, 2012Rosen Shingle Creek Hotel Orlando, FL
Tags: Florida Risk Management
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 firstname.lastname@example.org.
An operational audit should include these components
Financial Planning | Regulatory Compliance
Tags: Best Practices
Meet Established Requirements for CMS and accrediation organizations such as AAAHC.
Improve quality which compares established best practices of others and indentifies opportunities for improvement. Provides you the opportunity to compare your ASC's performance to others.
Benchmarking can improve financial results thru implementation of best practices and allows you to measure the results. Benchmarking can provide an additional marketing tool when speaking with payors about performance and outcomes.
Tags: Benchmarking, Best Practices
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