Tag Archives: ASC

Comment Opportunity on Expanded HHS Plan to Prevent Healthcare-Associated Infections

The HHS Office of Healthcare Quality is soliciting public comments on new draft components of the “HHS Action Plan to Prevent Healthcare-Associated Infections.” Specifically, HHS seeks comments on its draft strategies to prevent and reduce healthcare-associated infections in ambulatory surgical centers and in end-stage renal disease facilities, along with a draft strategy to increase influenza vaccination … Continue Reading

CMS Proposes CY 2011 HOPPS/ASC Rates, Revises 2010 Rates

On July 2, 2010, CMS released its proposed rule updating the Medicare hospital outpatient prospective payment system (HOPPS) and the ambulatory surgical center (ASC) payment system rates and policies for calendar year (CY) 2011. The official version of the rule is scheduled to be published in the Federal Register on August 3, 2010. Comments on … Continue Reading

CMS Clarifies ASC Waiting Area Requirements

On May 21, 2010, CMS issued guidance to state survey agencies clarifying CMS requirements for ambulatory surgical center (ASC) waiting areas, including the prohibition on the sharing of waiting areas with other entities. The guidance also discusses opportunities for existing ASCs that have waiting areas shared with other entities to obtain waivers as part of … Continue Reading

CMS Proposed Rule on ASC Condition of Coverage/Patients’ Rights

On April 23, 2010, CMS published a proposed rule that would revise the Medicare ambulatory surgical center (ASC) patients rights condition for coverage (CfC) that currently requires certain patient’s rights information to be provided to patients in advance of the date of the procedure. CMS observes that the current requirement has been problematic for ASCs that … Continue Reading

MedPAC Issues 2011 Medicare Payment Recommendations

On March 1, 2010, the Medicare Payment Advisory Commission (MedPAC) issued its recommendations to Congress regarding Medicare provider payment updates for 2011. Among other things, MedPAC recommends: Increasing acute inpatient and outpatient prospective payment system reimbursement in 2011 by the projected rate of increase in the hospital market basket index (MBI), coupled with implementation of a … Continue Reading

MedPAC Votes on 2011 Medicare Provider Update Recommendations

The Medicare Payment Advisory Commission (MedPAC) recently voted on recommendations it will make to Congress regarding Medicare payment updates for 2011. At the meeting, MedPAC voted to recommend increasing acute inpatient and outpatient prospective payment system reimbursement in 2011 by the projected rate of increase in the hospital market basket index (MBI). This rate increase … Continue Reading

HOPPS/ASC Correction Notice

CMS has published a notice correcting errors that appeared in the final CY 2010 rule updating the Medicare hospital outpatient prospective payment system (HOPPS) and the ambulatory surgical center (ASC) payment system.  Among other technical changes, the rule corrects Medicare ambulatory surgical center (ASC) payment rates that had been based on incorrect Medicare physician fee … Continue Reading

Final CY 2010 Medicare HOPPS/ASC Rule Released

CMS has issued its final rule updating the Medicare hospital outpatient prospective payment system (HOPPS) and ambulatory surgical center (ASC) payment system for 2010.  The official version of the rule is scheduled to be published in the Federal Register on November 20, 2009. With regard to the HOPPS update, CMS estimates that the rule will increase HOPPS … Continue Reading

CMS Issues Guidance to State Survey Agencies, Medicaid Directors

CMS has recently issued guidance to state survey agencies on a number of issues, including: Interpretive Guidelines for Long-Term Care Facilities (infection control programs); Surveying Facilities That Use Electronic Health Records; EMTALA Requirements and Options for Hospitals in a Disaster; Clarification of Ambulatory Surgical Center Interpretive Guidelines; Initial Surveys of CAH Distinct Part Units Changed to … Continue Reading

New Funds to Survey ASCs for Healthcare-Associated Infections

CMS is working with states to implement a new survey process to promote better infection control practices in ambulatory surgical centers (ASCs). Specifically, $10 million of ARRA funding is being made available to states in FYs 2009 and 2010 to implement a new survey process and increase the frequency of inspections for ASCs. In addition to remedying … Continue Reading

Health-Care-Associated Infection (HAIs) in Ambulatory Surgical Centers (ASCs)

The GAO has issued a report entitled "Health-Care-Associated Infections: HHS Action Needed to Obtain Nationally Representative Data on Risks in Ambulatory Surgical Centers." The GAO examined the availability of data on HAIs in ASCs nationwide, and found that no current sources of data on HAIs in ASCs provide information on the extent of the problem … Continue Reading

MedPAC Report to Congress — Medicare Payment/Transparency Provisions

On February 27, 2009, MedPAC released its March 2009 Report to the Congress: Medicare Payment Policy. The report includes a series of recommendations for Medicare payments designed to assure beneficiaries’ access to care and preserve Medicare’s long-term sustainability, particularly through reductions in payment updates for 2010. The report also includes recommendations to increase transparency of physician financial … Continue Reading

MedPAC to Consider Medicare Proposals January 8-9, 2009

The Medicare Payment Advisory Commission (MedPAC) is meeting January 8-9, 2009 to discuss a variety of Medicare payment and policy issues, including payments to hospitals, physicians, ambulatory surgical centers, dialysis providers, skilled nursing facilities, home health agencies, inpatient rehabilitation facilities, long-term care hospitals, hospices, and Medicare Advantage plans.… Continue Reading

HOPPS/ASC Final Rule

On October 30, 2008, CMS released its final rule with comment period updating Medicare hospital outpatient prospective payment system (HOPPS) and ambulatory surgical center (ASC) reimbursement and related policies for CY 2009. CMS expects that the final rule will increase HOPPS spending by 3.9 percent overall as a result of the inflation update and other policy … Continue Reading

Practicing Physicians Advisory Council Meeting

On December 8, 2008, the Practicing Physicians Advisory Council is holding its quarterly meeting to discuss Medicare policy changes related to physicians’ services. Agenda items include: Physician Fee Schedule Final Rule; Outpatient Prospective Payment System/Ambulatory Surgical Center Fee Schedule Final Rule; Stark Reform; Value Based Purchasing—Efficiency Measures; CMS-FDA Collaboration; and Medically Unlikely Edits Update. … Continue Reading
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