Departments

Departments

Message from the President

Could a Strategic Partnership Be in Your ASC’s Future?

Most ASCs are already familiar with the kind of partnership formed when two or more companies or people do business together, contributing money, assets and skill sets. But has your ASC ever considered getting involved in a strategic partnership—a long-term association of multiple parties that form a mutually beneficial relationship aimed at achieving shared business goals?


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Message from the CEO

Drive Improvement Using Survey Data

Surgery centers operating in today’s competitive healthcare marketplace need to know how they stack up against others and do everything they can to ensure they are maintaining the highest standards of patient care and operational efficiency.


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As I See It

Building an ASC

How to be successful from the ground up

The art of ASC construction is a complicated beast. Having built and established a few dozen ASCs and other healthcare facilities over the last two decades, I learned that establishing and maintaining an ASC is a tough journey.


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Doing Business

The Vital Role of Strategic Partnerships for ASCs

Alliances with other organizations can be beneficial for surgery centers

ASCs have become an integral part of the healthcare system, providing cost-effective, high-quality surgical care in an outpatient setting. The success of ASCs is evident in their rapid growth over the past few decades.


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Emergency Preparedness

Shootings in Healthcare Facilities Rise

Steps to take to keep your surgery center safe

The topic of emergency preparedness comes up regularly in workplaces, but recently, this preparation has had to be enhanced. Specifically, healthcare facilities now have to think about what to do in the case of an active shooter.


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Advocacy

ASCA Members Celebrate National ASC Month

Surgery centers host facility tours for congressional staff, advocate for their cause

In August, ASCs across the country celebrate National ASC Month to highlight the high-quality, cost-effective surgical care that surgery centers provide to their patients and communities. 90210 Surgery Medical Center in Beverly Hills, California, and South Kansas City Surgicenter in Overland Park, Kansas, hosted their members of Congress to educate them about ASCs and the work they do for their community.


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Trends

Sg2 2024 Annual Report Projects High Growth in ASC Volume

Three specialties will migrate to surgery centers more than others

Between 2024 and 2034, ASC volume will go up 21 percent to 44 million, according to Sg2’s 2024 Impact of Change report.


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Education

Master Life Safety Code Compliance

Sign up for ASCA’s virtual course this October to learn how

ASCA’s third virtual course this year, Life Safety Code for ASCs, will be broadcast live over two half days, October 23 and 24. Recordings of the sessions will be available on demand later.


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Awards

Bryant Receives Nap Gary Award for Lifetime Achievement

The former chief executive officer of ASCA led the organization from 1998–2010

ASCA awarded its 2023 Nap Gary Legacy Award for Lifetime Achievement in the ASC Community to Kathy Bryant, former chief executive officer of ASCA.


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Q&A

Doing Right by the Community

An Illinois ASC helps patients in need access care

The Orthopaedic Institute Surgery Center in Metropolis, Illinois, helps its community by never sending a child who needs surgery back home without that surgery if the ASC can safely provide it. This is irrespective of the child’s insurance status. Melanie Russell, RN, the administrator of the ASC, is a pivotal part of this effort.


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Coding

Decoding the Anatomy of Pain Management Injections

Epidurals, biologics and emerging technologies

Understanding patient anatomy is a crucial part of the coding process, especially for intricate procedures like pain management injections. Getting those codes right the first time requires comprehensive knowledge of each injection type, technique and administration site.


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How to Use CMS’ Single-Use Endoscopes Billing Code

Follow these tips

The Centers for Medicare & Medicaid Services recently assigned a new Healthcare Common Procedure Coding System (HCPCS) code for use in facility billing for single-use endoscopes. This device code offers ASCs additional Medicare payments when using disposable ureteroscopes.


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Compliance

Conforming with Patient Privacy Rules

Protect PHI and ensure comprehensive healthcare compliance

In today’s digital age, protecting patient privacy and adhering to regulatory requirements is paramount for healthcare organizations. The stakes are high, with protected health information becoming more accessible than ever before.


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Regulations

HIPAA Biannual Update

January to June 2024

During the first half of 2024, healthcare organizations across the country posted 359 breaches of protected health information (PHI) affecting 500 or more individuals.


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Legal Matters

Informed Consent Process in Ambulatory Surgery

Review state laws and AHRQ materials before creating your policy

In rare situations, the duration of the informed consent could present an issue. Some state laws presume that a written authorization signed by the patient is valid. Some states might specify the time frame in which consent remains valid; others require that consent be obtained no more than 30 days from the procedure. Therefore, checking state regulations is essential.


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Marketing

Build a Data-Driven Marketing Program

Foster relationships by eliminating the guesswork

Relying on word-of-mouth to cultivate awareness is not enough to establish and build reputation among potential patients in today’s competitive healthcare marketplace. Patients are using various means to shop for and select their care providers, and it is helpful to have a marketing program that connects with people as they consider options.


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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

Reintroducing the ASC Act in Congress

If passed, the Outpatient Surgery Quality and Access Act will better align Medicare’s ASC and HOPD payment systems

As this issue of ASC Focus goes to press, Congressman John Larson (D-CT) and Congressman Brad Wenstrup, DPM (R-OH), are planning to introduce the Outpatient Surgery Quality and Access Act of 2023 in the House side of the 118th Congress, and Senator Richard Blumenthal (D-CT) and Senator William Cassidy, MD (R-LA), are planning to introduce the legislation in the Senate.


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Quality Improvement

Stay on the Forefront of Efficiency and Quality

Consider these new strategies

During the last 27 years, as an ophthalmic surgeon, I also was part owner of an ASC in Washington, DC. While I was able to transition successfully, I wish I had had many of the tools and features available today that would have made my life easier and my business more profitable.


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Technology

The Future of ASCs

Advancing health equity through technology

“Health equity” is the state in which everyone has a fair and just opportunity to attain their highest level of health. Throughout my years as a surgeon and a national manager of surgery centers, I witnessed a transformation in the American healthcare landscape. Driven by the ASC industry, this transformation led and inspired improvements in efficiency and enhanced healthcare quality.


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Infection Prevention

Build an Effective Infection Prevention Program

Rely on sound policies, careful training and accountability

ASC employees often wear multiple hats and fill multiple roles that are normally individualized at larger facilities. In some cases, surgery centers have tight reprocessing areas or limited equipment, tools or chemistries to reprocess devices. Having access to the most updated instructions for use (IFU) is critical for success in this field and these situations.


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Cybersecurity

Preparing for and Responding to a Data Breach

Have a written plan, implement it in a timely manner and communicate with your patients

ASCs are attractive targets for cybercriminals. Surgery centers collect and store vast amounts of sensitive personal information. This is highly valued as it can be used for identity theft, blackmail and extortion.


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Finances

Exploring Denial Reasons

A revenue cycle analysis

With a focus on improving surgery centers’ revenue cycle management operations and rate of collections, our business intelligence and analysis team recently conducted a study using a subset of data to investigate common denial reasons for ASCs.


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Billing

Is Your Billing Team Performing Optimally?

Take a deep dive into your processes to decide

Your ASC is well-positioned in the community. It has a good reputation, as do your providers. Your caseload is steady or perhaps growing. You have a happy, busy staff.


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Regulatory Review

ASCA Advocates for Changes to CMS 2025 Proposed Medicare Payment Rule

Comments focus on rate update, cost data and the ASC-CPL

ASCA submitted comments on the Centers for Medicare & Medicaid Services’ (CMS) 2025 proposed payment rule for ASCs and hospital outpatient departments (HOPD).


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Advocacy Spotlight

Lawmaker Champions ASCs in Congress

One-on-one with US Representative Van Duyne (R-TX), cosponsor of the Outpatient Surgery Quality and Access Act of 2023

Representative Beth Van Duyne (R-TX) is one of the most vocal supporters of the ASC community in the US House of Representatives. In 2023, she became a cosponsor of the Outpatient Surgery Quality and Access Act of 2023 (H.R. 972/S. 312).


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Member Profile

Jane Glover

Jane Glover, business office operations manager at Surgical Investors & Advisors, LLC, in Alpharetta, Georgia, discusses how an ASC can expedite a facility credentialing process that its payer requires.


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Industry Insight

William A. Miller

William A. Miller, partner at Higgs, Fletcher, & Mack LLP in San Diego, California, discusses the most important legal issues for ASCs this year.


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ASCA News

Renew Your Membership for 2025

Thank you for being an ASCA member in 2024. In addition to the long list of benefits ASCA membership already offers, next year, it also will include free access to all of ASCA’s virtual education, including all virtual courses and webinars.


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Web Crawl

ASCA to Post 2024 Medicare Rate Calculator Updates

In October, ASCA will update its 2024 Medicare Rate Calculator to reflect fourth-quarter changes to the ASC payment rates.


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