Episode 197 - News Update, Takeaways from the Illinois Association Meeting and Focus on Credentialing and Privileging - August 30, 2023 - a podcast by John Goehle

On this episode of the ASC Podcast with John Goehle we discuss the latest news in the ASC Industry,  Review takeaways from the Illinois State Association Meeting and in our focus segment, review the requirements for Credentialing and Privileging providers. 

 

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

 

Notes and Resources from this Episode:

DHHS is investing more than 100 million dollars to address the nursing shortage.

• https://www.hhs.gov/about/news/2023/08/10/biden-harris-administration-announces-100-million-grow-nursing-workforce.html

 ASA guidelines on GLP 1 receptor agonists

• https://www.asahq.org/about-asa/newsroom/news-releases/2023/06/american-society-of-anesthesiologists-consensus-based-guidance-on-preoperative

Credentialing:

1. Watch our On-Demand Credentialing training program available for rent at: 
   1. https://vimeo.com/ondemand/credentialing
   
   


2. Access the AMA database at  https://profiles.ama-assn.org/amaprofiles/  They provide primary source verification for physicians (ie. not CRNA's, Podiatrists, Dentists).  


3. For Podiatrists, access the American Board of Podiatric Medicine at https://www.abpmed.org/pages/credentialers/verification where you can perform primary source verification.  


4. For CRNAs, access the national board at: https://portal.nbcrna.com/credential-verification to perform primary source verification.  


5. Go to the National Practitioner Data Bank at:   http://www.npdb-hipdb.hrsa.gov/.  


6. Check the Medicare Excluded individuals database at:  http://exclusions.oig.hhs.gov/ to make sure the practitioner has not been excluded from the Medicare program.  


7. To Verify DEA directly go to this website: https://apps.deadiversion.usdoj.gov/webforms2/spring/validationLogin?execution=e1s1

 

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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

• Infection Control Survey Tool (Used by Surveyors for Infection Control)
  • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf
  
  
  
  


• 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
  
  
  
  

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