Episode 174 - Latest News and Information, and Focus on the 2023 Final CMS Payment Rule and Medicare Quality Reporting - November 15, 2022 - a podcast by John Goehle

from 2022-11-17T07:52:23

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On this Episode of the ASC Podcast with John Goehle we discuss the latest news and information, discuss some recent survey experiences and our new patron website and in our focus segment discuss the 2023 final CMS Payment rule and the updates to the Medicare Quality Reporting Program.

This episode is sponsored by Surgical Information Systems, triValence and Ambulatory Healthcare Strategies.

Resources from this Episode:

CMS Fact Sheet on the 2022 Payment Rule
- https://www.cms.gov/newsroom/fact-sheets/cy-2023-medicare-hospital-outpatient-prospective-payment-system-and-ambulatory-surgical-center-1

CY 2023 Medicare Hospital Outpatient Prospective Payment System (PPS) and Ambulatory Surgical Center (ASC) Payment System
- https://www.cms.gov/medicaremedicare-fee-service-paymentascpaymentasc-regulations-and-notices/cms-1772-fc

Payment Spreadsheet with the National Rates
- https://www.cms.gov/license/ama?file=/files/zip/2023-nfrm-addendum-aa-bb-dd1-dd2-ee-and-ff.zip

Important Resources for ASCs:

Conditions for Coverage:

https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150

Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)
- https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf
- https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som

Policy & Memos to States and Regions
- CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
- https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions

Other Resources from the ASC Podcast with John Goehle:

Upcoming Conferences:

ASC Administrator’s Bootcamp:

The ASC Industry’s leading virtual mentored training program for administrators in ASCs. The virtual conference includes a comprehensive 4 day training program from January 24-27, 2023. For more information - visit: https://ascpodcast.com/asc-administrators-bootcamp/