Tag: CMS

Older Black men more likely to die after surgery than others

Editor's Note This study led by researchers at the VA Greater Los Angeles Healthcare System and David Geffen School of Medicine at UCLA, Los Angeles, finds that postoperative mortality was higher in Black men than Black women, White men, and White women. A total of 1,868,036 Black and White Medicare…

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By: Judy Mathias
March 2, 2023
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Prices for surgical procedures in and out of hospital networks

Editor's Note This study from the University of Michigan, Ann Arbor, finds that network facilities had higher negotiated prices for surgical procedures, and there is wide variability across facilities in and out of hospital networks. A total of 3,195 hospitals were included in the analysis. Among the findings: For 15…

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By: Judy Mathias
February 14, 2023
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Strategies for preparing and surviving a CMS survey

The Centers for Medicare and Medicaid Services (CMS) develops conditions of participation (CoPs) and Conditions for Coverage (CfCs) that healthcare organizations must meet in order to participate in Medicare and Medicaid programs. Payers, including government payers, require facility certification or accreditation for reimbursement. “Reimbursement is the critical piece,” says Becky…

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By: Judith M. Mathias, MA, BS, RN
January 19, 2023
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The Joint Commission announces standards reductions, revisions for 2023

Editor's Note The Joint Commission announced on December 21 that they are eliminating 168 standards (14%) and revising 14 other standards across its accreditation programs in the new year. The Joint Commission additionally announced that it will not raise accreditation fees for domestic hospitals in the coming year due the…

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By: Bridget Brown
December 29, 2022
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Accreditation updates from The Joint Commission, CMS

Takeaways Many OR managers said they were overdue for a survey by The Joint Commission because of the pandemic. The Joint Commission is said to be 3,000 surveys behind. More checklists are being used by surveyors, which are available in The Joint Commission’s Perspectives and EC News newsletters. New in…

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By: Judith M. Mathias, MA, BS, RN
December 15, 2022
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Federal judge declines challenge to vaccination mandate by 14 states

Editor's Note A federal judge in Louisiana declined a case brought by 14 states that challenged the Biden administration’s mandate requiring COVID-19 vaccination for eligible staff at healthcare facilities participating in Medicare and Medicaid Programs, the December 8 Becker’s Hospital Review reports. The states have 60 days to appeal the…

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By: Judy Mathias
December 8, 2022
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CMS outlines steps to improve health equity data

Editor's Note The Centers for Medicare and Medicaid Services (CMS) on November 10 issued a report outlining its plans, “for the first time,” to improve the transparency, accountability, and completeness of health equity data across its programs. “CMS defines health equity data as the combination of quantitative and qualitative elements…

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By: Judy Mathias
November 16, 2022
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CMS penalizes 2,273 hospitals for high readmission rates, lowest since 2014

Editor's Note  The Centers for Medicare & Medicaid Services (CMS), through the Hospital Readmissions Reduction Program, evaluated more than 2 years of readmission cases for Medicare patients and penalized 2,273 hospitals, Kaiser Health News November 1 reports. This is the lowest number of penalties since 2014. The Hospital Readmissions Reduction…

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By: Bridget Brown
November 1, 2022
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Session: ASC Leadership Roundtable Panel, Ask the Experts

Editor's Note The last day of the OR Manager Conference saw perhaps its most inventive breakout session yet. The ambulatory surgery center (ASC) leadership roundtable panel led attendees through an education-filled hour marked by games, interaction, and trivia. “Technology is the way of the future, it is here, and we…

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By: Tarsilla Moura
October 20, 2022
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CMS quality reporting update for ASCs

A lot has happened with ASC quality measure reporting in the last 2 years, especially this year, says Gina Throneberry, MBA, RN, CNOR, CASC, director, education and clinical affairs, Ambulatory Surgery Center Association (ASCA). Throneberry spoke at the ASCA annual conference in April. In the Centers for Medicare and Medicaid…

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By: Judith M. Mathias, MA, BS, RN
September 27, 2022
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