Departments

Departments

 

Message from the President

Role of Technology in Your ASC

Use of technology has been increasing in surgery centers for many years. As we continue to meet the needs of surgeons and patients in the future, will technology be your friend or foe?


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Message from the CEO

Combating the Opioid Crisis

As the country grapples with a tragic opioid epidemic, the government and ASCA are working to support a comprehensive solution to address the abuse and misuse of pain-killers. According to the US Department of Health & Human Services (HHS), opioid overdoses accounted for more than 42,000 deaths in 2016, more than any previous year on record.


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As I See It

Postsurgical Pain Management in ASCs

Prevent opioid dependency, minimize readmissions and improve patient experience

Major advances in surgical techniques have enabled ASCs to perform a myriad of outpatient surgery procedures on millions of Americans. Many challenges, however, still exist in adequately managing postsurgical pain while minimizing negative outcomes in the ASC setting.


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Q & A

ASCA CEO Discusses Proposed 2019 ASC Payment Rule

A Q&A with Bill Prentice

On July 25, the Centers for Medicare & Medicaid Services (CMS) released the 2019 proposed payment rule for ASCs and hospital outpatient departments (HOPD). ASCA Chief Executive Officer Bill Prentice talks about the policy changes proposed and the implications of those changes for ASCs.


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ASCA 2019

Secrets to Successful Equipment Buying

Come to ASCA 2019 for tips

Are you considering taking on a new service line in your ASC? During my presentation, “Make Data-Driven Decisions: Use Breakeven Analysis Before You Invest” at the ASCA 2019 Conference & Expo, May 15–18, in Nashville, Tennessee, I will share insight on how to make the best decisions when purchasing or leasing new equipment for your facility.


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Coding

Applying NFPA 99 to Your ASC

The Health Care Facilities Code identifies provisions for maintaining building systems

Health care facilities, including ASCs, contain many building systems and equipment that are unique compared to other occupancies. Those systems play a vital role in providing care to patients and are a key component in patient outcomes. Even those systems that are not unique to health care can have more importance in facilities that are occupied by the sick, weak or otherwise compromised (i.e., individuals who are sedated or under anesthesia). The continual upkeep of these systems and equipment is essential to providing safe patient care.


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Compliance

OSHA Updates Its Regulations

Learn how to implement the revised reporting requirements

In 2013, the Occupational Safety and Health Administration (OSHA) issued a proposed rule to improve the tracking of workplace injuries and illnesses through the electronic collection of establishment-specific injury and illness data. After receiving comments on the proposal, OSHA issued the final rule that became effective January 1, 2017 (Occupational Safety and Health Administration 29 CFR Part 1904).


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Regulations

OSHA Updates Its Regulations

Learn how to implement the revised reporting requirements

In 2013, the Occupational Safety and Health Administration (OSHA) issued a proposed rule to improve the tracking of workplace injuries and illnesses through the electronic collection of establishment-specific injury and illness data. After receiving comments on the proposal, OSHA issued the final rule that became effective January 1, 2017 (Occupational Safety and Health Administration 29 CFR Part 1904). For more information on the final rule, click here. Although ASCs are partially exempt from some of the requirements in that rule, they are subject to a requirement that prohibits employers from discouraging workers from reporting an injury or illness.


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Doing Business

Closing the Loop

Use technology to make patient engagement a priority

The overarching goals of population health are to improve the overall well-being of a designated population while lowering costs. "Burden and Costs of Gastrointestinal Disease in the U.S.,” an October 2018 column in NEJM Journal Watch, estimates direct and indirect spending on GI diseases in the US to be $136 billion per year, with many procedures and surgeries costing patients hundreds or even thousands of dollars.


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Insurance

Trends in Medical Risk Transfer

Risks that are uninsurable or prohibitively expensive to insure might call for alternative risk transfer

In an ever-changing world, it is no secret that risks associated with ASCs also are evolving. Trends in medical risk transfer, however, are generally not related to ordinary risks but rather nontraditional—low frequency/high severity—risks. If these risks occur, they have the ability to bring a practice to a screeching halt. Examples of such risks include: loss or suspension of professional license, legislative and regulatory changes, cyber risk (breach of customer data and detrimental code) and related Health Insurance Portability and Accountability Act of 1996 (HIPAA) violations.


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Legislature

ASCA Advocates for Fair Implementation of Section 603

Congress passes site-neutral payment legislation

On November 2, 2015, congressional leaders and the Obama administration announced a bipartisan budget agreement that would fund the federal government for two years, raise the nation’s debt ceiling and stave off Medicare premium increases for beneficiaries. The final legislation, called the Bipartisan Budget Act of 2015, responded to a number approaching fiscal deadlines and leadership changes in the House that could have impacted the ability to strike such a deal.


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Technology

Curbing the Opioid Epidemic

The role of ASCs and EHRs

Emergency rooms (ER)—where a 2016 New York Times report says up to 75 percent of visits are for pain—can be a starting point for addiction. Many patients’ initial exposure to opioids, however, is immediately following outpatient surgery.


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Finances

Take Your ASC Revenue Cycle to the Next Level

Your employees are the most important tool to success

We all know every penny counts, but the rapidly changing rules surrounding ASC reimbursement can make revenue cycle management difficult. We can be ready for whatever changes come our way if we have the right tools, anticipate and adapt. When we think “tools,” we generally think software, hardware and medical equipment, but the most important tool for an ASC’s success is something else that is sometimes forgotten. More on that later. Below are a few tips to manage your revenue cycle successfully.


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Regulatory Review

Medicare’s Top Citations in 2018

ASCA 2019 will offer guidance for avoiding common pitfalls

The Centers for Medicare & Medicaid Services (CMS) conducted 1,185 health surveys and 819 life safety surveys at 5,772 CMS-certified facilities in 2018. A look at the top citations CMS issued during those surveys can help provide insight into what surveyors focused on and identify areas where facilities failed to comply.


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Advocacy Spotlight

ASCA in the Forefront of CRC Screening Advocacy

Show your support for CRC screening during National Advocacy Day

According to the Centers for Disease Control and Prevention (CDC), colorectal cancer (CRC) is the third-most diagnosed and second-most deadly cancer in America. In 2017, approximately 135,000 people were diagnosed with CRC. And while death rates associated with CRC have declined for several decades, roughly 50,000 people succumb to the disease each year. CDC estimates that if all precancerous polyps were identified and removed before becoming cancerous, the number of new CRC cases could be reduced by 76 to 90 percent.


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ASCA News

Register for ASCA’s March Webinars

In March, ASCA will offer two webinars as a part of its 2019 Webinar Series.


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Web Crawl

Q1 Benchmarking Data Collection Opens April 1

The data collection period for the first quarter (Q1) of ASCA’s 2019 Clinical & Operational Benchmarking Survey opens April 1.


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