Same-Day Surgery
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Following These Coding Tips Could Decrease Payer Denials
Coding expertise in an ASC can help the facility maintain compliance with payers’ rules and ensure proper staff education.
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Peer Review Privilege Useful When ASCs Follow State Laws
ASCs must follow state laws about peer review privilege to ensure they enjoy legally protected confidentiality when confronted with lawsuits. But beware: There is no federal peer review privilege, and each state’s rules are different. Further, not every quality review is protected under peer review privilege. An attorney offers some tips to help understand and navigate this tricky process.
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Breaking Down ASC Market Trends and Changes
An insider provides insight about the predictions and findings from a recently published market report.
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ASC Market Growth on Track for 2019 and Beyond
Surgery centers can expect steady growth in 2019 and beyond, according to the authors of a recent ambulatory surgery center market report who predict 16% growth in outpatient procedure volumes through 2026. This growth largely is due to an expanding population of older patients who need surgery now or will soon, but it is supplemented by surgical procedures shifting from inpatient to outpatient settings, according to the 2018 Ambulatory Surgery Center Market Report by the Health Industry Distributors Association.
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New Year’s Resolutions for 2019
With a new year comes a time to set some goals to help your business succeed. Here are a few to get you started.
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Finding Experienced OR Nurses Is a Challenge ASCs Should Tackle
ASCs may be at an advantage over hospital ORs when it comes to hiring nurses. For instance, the work hours in an ambulatory OR are more desirable. Still, both hospital and ASC OR settings will continue to see increasing shortages of nurses. ASCs will experience this problem because of their increasing case volume and rise in OR nursing demand.
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Collaboration to Standardize Care and Quality Improvement in Joint Replacement
The Joint Commission (TJC) and the American Academy of Orthopaedic Surgeons (AAOS) have created a new collaboration for Total Hip and Knee Replacement (THKR) certification. AAOS brings clinical expertise to the collaboration while TJC contributes standards development and performance measurement requirements.
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ASCs Continue Struggling With False Claims Act and Anti-Kickback Statute
Some ASCs shell out millions of dollars to settle False Claims Act or federal Anti-Kickback Statute violations. These often are the result of whistleblower reports and could have been caused by ASCs not conducting proper research before selling shares in the business. Other times, ASCs end up in compliance trouble often because leaders were not cautious when choosing tactics to improve their competitiveness in the healthcare marketplace.
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Medicare’s 2019 Final ASC Payment Rule Includes Several ASCA Suggestions
The final ASC payment rule for 2019 provides some long-awaited improvements regarding how ASC payment rates are determined. Specifically, ASC payment rates now tie their rate increases to the same inflation rate that has been used for hospital outpatient departments.
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Strong for Surgery Targets Specific Health Issues
The Strong for Surgery program includes checklists that target eight areas, including four lists that were released in November 2018. In addition to nutrition, glycemic control, and medication management, the new targets are safe and effective pain management after surgery, delirium, prehabilitation, and patient directives.