ASCs lock in higher Medicare, Medicaid payment rate
Editor's Note Ambulatory Surgery Centers (ASCs) will now receive a 3.1% payment rate from the Centers for Medicare and Medicaid Services (CMS) for services, which is an increase of .3% under the original rule, Becker’s ASC Review December 5 reports. This change in payment rate reflects the average of all…
New Joint Commission ORYX performance measure reporting requirements
Editor's Note The Joint Commission on November 1 announced the release of the 2024 ORYX performance measure reporting requirements, which will be effective starting on January 1, 2024, for critical access hospitals and hospitals. In the new requirements, acute care hospitals and critical access hospitals must join The Joint Commission National…
Gender pay gap identified for gastroenterologists
Editor's Note According to a report by researchers from the University of Virginia Healthcare System, there is a significant gender pay gap in Center for Medical Services (CMS) reimbursements for gastroenterologists, Gastroenterology & Endoscopy News October 19 reports. The findings were reported in this poster presentation as well as first…
ASC luncheon: Quality Measure Reporting Updates for ASCs
Editor’s Note In this luncheon presentation, OR Manager Conference attendees delved into the Centers for Medicare & Medicaid Services Quality Measure Reporting Program for ambulatory surgery centers (ASCs). Gina Throneberry, MBA, RN, CASC, CNOR, director of education and clinical affairs at the Ambulatory Surgery Center Association (ASCA), shared which quality…
Effect of Medicaid expansion on reductions in preventable hospitalizations
Editor's Note This study, led by researchers at Wake Forest University School of Medicine, Winston-Salem, North Carolina, examines whether Affordable Care Act Medicaid expansion among Black, Hispanic, and White patients led to reductions in preventable hospitalizations. Data on census population and hospitalizations for ambulatory care sensitive conditions from 2010 to…
New CMS rule focuses on postop opioids in outpatient settings
Editor's Note The Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act, which is set to take effect in 2025, will set up a separate Centers for Medicare and Medicaid Services (CMS) payment for certain nonopioid pain management techniques in outpatient and ambulatory surgery center (ASC) settings, the September 12 Becker’s…
The Joint Commission: Updated Accelerate PI Dashboard Reports available
Editor's Note The Joint Commission, on August 23, announced that updated Accelerate PI Dashboard Reports are available for hospitals, critical access hospitals, and nursing centers. The reports provide performance measurement data from the Centers for Medicare and Medicaid Services on a select subset of quality measures through the second quarter…
The Joint Commission revises THKR performance measure
Editor's Note The Joint Commission, on August 9, announced that it is revising a performance measure for the advanced Total Hip and Total Knee Replacement (THKR) Certification Program—THKR-5: Postoperative Functional/Health Status Assessment—to align with a similar Centers for Medicare and Medicaid Services (CMS) measure. The recently adopted CMS performance measure—Hospital-Level,…
ACS: 19 surgical organizations oppose CMS code G2211
Editor's Note The American College of Surgeons (ACS) announced, on July 26, that it and 18 other surgical organizations sent a letter to the Centers for Medicare & Medicaid Services (CMS), strongly opposing implementation of its code G2211. The G2211 code is an effort by CMS to pay more for…
Price transparency in surgical settings
Takeaways • Healthcare consumers are not aware that they can ask how much something costs. • There is disconnect between the law and common knowledge, and patients generally are confused about what they receive as good faith estimates. • In addition to incorrect CPT codes and OON allowable charges, the…
Free Daily News
- Neurosurgery trial: Early evacuation improves long-term hemorrhage outcomes
- Drug shortages higher than ever
- FDA announces class 1 recalls for premixed embolic, infusion pump software
- Academic medical centers identify performance-improvement priorities
- Propofol anesthesia for colonoscopy could help find polyps, prevent cancer
- FDA Class 1 recall renews concern about historically problematic heart pumps
- New physician compensation report reveals modest pay gains but growing discontent with the profession
- Surge in corporate ownership of medical practices raises concerns over physician autonomy, care quality
- How Minneapolis healthcare real estate remained strong amid challenges, shifts in patient care preferences: Lessons for other states
- Artificial intelligence (AI) captures uncertainty in medical scans