ASCA News Digest (November 20, 2018)

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November 20, 2018


ASCA Highlights

Purchase ASCA’s 2019 Webinar All-Access Pass to enjoy big savings on a full year of quality ASC education. This popular pass provides access to both the live events and recordings of all 16 webinars in the 2019 series. Webinar topics include infection prevention, managed care contracts, staff productivity, QAPI, health care employment law updates, CMS quality reporting and more. Purchase today.
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DepuySynthes   Outpatient Joint Replacement and Achieving The Triple Aim

Andrew Stoeckl, MD President of Excelsior Orthopaedics | Nicholas J. Violante, DO | David Uba, MBA, CEO

Excelsior Orthopaedics – Buffalo, NY

Patient outcomes demonstrate that outpatient joint replacement (OJR) provides an alternative site of care for patients suffering from chronic osteoarthritis. With the Triple Aim Objectives of healthcare reform firmly planted at the forefront of the national debate, OJR has been less costly than joint replacement performed in an inpatient hospital setting for our practice. By streamlining care in the outpatient setting, and contracting with local insurance providers with a bundled offering, Excelsior Orthopaedics decreased the top line reimbursement for total joints from approximately $38,000 to $26,000.

Continue reading here!

Sign up today for ASCA’s 2019 Winter Seminar and save $100 on registration. This year’s program, taking place January 17–19 in Austin, TX, features three specialized tracks:
  • ASC Management Essentials (new in 2019)
  • Coding Update & Reimbursement Strategies
  • Infection Prevention Techniques for ASCs
You can move freely between the tracks and attend any of the sessions offered during this focused, ASC-specific seminar. Learn more and register.
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Subscribers to ASCA's 2018 Clinical & Operational Benchmarking Survey can now access their third-quarter (Q3) reports. To access your facility’s report, log in to the survey portal and select the "Run Reports" tab.

Keep your ASC on track for success in the next year and beyond by subscribing to the 2019 Clinical & Operational Benchmarking Survey, now available for purchase.
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Through ASCA’s affinity partnership with Akorbi, ASCA members can enjoy special discounted rates on Akorbi’s high-quality translation and interpretation services, which are available in more than 170 languages. Learn more about how Akorbi’s language solutions can benefit your ASC.
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On November 28 at 10:00 am ET, the US Senate Committee on Health, Education, Labor and Pensions (HELP) will showcase innovation during its final hearing in a series on health care costs. The hearing, titled Reducing Health Care Costs: Improving Affordability Through Innovation, follows a September 18 HELP hearing that highlighted ASCs. Learn more.
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United Surgical Partners International (USPI) of Dallas, Texas, appointed Brett Brodnax, president and chief development officer, as chief executive officer (CEO), according to a November 6 press release.

A 19-year veteran of USPI, Brodnax succeeds Bill Wilcox, who will continue in his role as chairman of USPI and as a vice chairman of Tenet Healthcare, USPI's parent company. Read more.
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As ASCA announced on September 18, the Centers for Medicare & Medicaid Services (CMS) has released its proposed rule “Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction.” Of note, CMS has proposed to remove the requirement for ASCs to have a transfer agreement or that all ASC physicians have admitting privileges with a local hospital. Comments are due Monday, November 19. Learn more.
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ASCA 2019 Winter Seminar

Industry News

Patients Deserve Better Information About Quality and Price
Salt Lake Tribune (Utah) (11/18/18) Tippets, Ty

Recently, I was honored to testify before the U.S. Senate Health, Education, Labor and Pensions (HELP) Committee about ways that price transparency can lower health care spending and empower patients to make wise choices about the care they need. I was invited to testify because I am the administrator of the St. George Surgical Center, an ambulatory surgery center in St. George.
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DePuy Synthes   Why did you start performing total joint replacements at the surgery center?
AAAHC Report Outlines High Compliance Areas and Opportunities for Improvement
AAAHC News Release (11/13/18)

A new report from AAAHC analyzes data from more than 900 accreditation surveys from 2017 to identify areas of high and low compliance, providing ambulatory healthcare organizations with insight on how best to improve their performance and quality of care. Designing and implementing quality improvement studies, credentialing and privileging, as well as documentation management were common deficiencies cited during 2017 accreditation surveys.
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The Triple Aim Must Overcome the Triple Threat
News@JAMA (11/08/18) Slavitt, Andy

What you're about to read may be considered modern day health care heresy: the Triple Aim for health systems is not enough. The Triple Aim—defined as enhancing the experience of care for the patient, improving the health of populations, and reducing the per capita costs of health care—has become the guiding light of American health policy in the last decade.
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Payments for Surgeries in Ambulatory Surgery Centers Lower Than in Hospital Outpatient Departments, with Few Exceptions, Finds WCRI Study
Workers Compensation Research Institute (11/15/2018)

The payments for similar knee and shoulder surgeries performed in ambulatory surgery centers (ASCs) were lower compared with hospital outpatient departments in many study states, with few exceptions, according to a new FlashReport from the Workers Compensation Research Institute (WCRI). "Some studies indicate that ASCs provide care that is less expensive than services provided in hospitals," said Ramona Tanabe, WCRI’s executive vice president and counsel.
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2019 Medicare Physician Fee Schedule Rule Includes Potentially Misvalued Codes for THA/TKA
PR Web (11/13/18)

The Centers for Medicare and Medicaid Services (CMS) recently released the 2019 Medicare Physician Fee Schedule Final Rule and identified seven high volume current procedural terminology (CPT) codes as potentially misvalued, amongst which were 27130 (total hip arthroplasty) and 27447 (total knee arthroplasty). CMS requested the RUC (Relative Value Update Committee) of the American Medical Association re-evaluate the work for these procedures.
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National Medical Billing Services

National Medical Billing Services