| 7:00am–7:45am |
Start the day off with a breakfast filled with fruit, yogurts, eggs, breakfast meats, juice and coffee. Don’t miss this chance to visit with our exhibitors.
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| 7:30am–8:30am |
Evaluations are a necessary evil in the ASC setting. Neither managers nor employees look forward to them, and some may even put off doing them. Evaluations can be particularly challenging when a manager needs to address issues with an employee’s performance. Learn how to use a difficult conversation about employee performance as a meaningful opportunity to drive improvement—and ultimately benefit both parties.
AEU Content Area: Human Resources
Faculty:
Ann Geier is Chief Nursing Officer for Surgical Information Systems SIS), a leader in perioperative information systems. In this role, she consults with clients on best practices and strategies to enhance efficiency, improve compliance and deliver high quality patient care.
Ann Geier has worked in the ASC industry for over 30 years, and is a recognized expert. She has been responsible for every aspect of ASC financial & clinical operations, and has been a surveyor for Accreditation Association for Ambulatory Health Care (AAAHC) since 2006.
Ann’s extensive clinical background is in the operating room, where she served in every capacity. She is an active member of AORN and ASCA, and she represented ASCA on the Board of Directors of AAAHC.
She was selected by the Board of Ambulatory Surgery Certification (BASC) Nominating Committee serve on the BASC Board through 2019 and is the currently the secretary/treasurer Ann has an MS in Health Services Administration from the University of St. Francis. She is CASC & CNOR certified. She regularly speaks at national meetings and contributes articles to Outpatient Surgery Magazine, ASC Focus, Becker’s ASC Review. She has written an e-book, Admin 101: What Every New ASC Administrator Needs to Know available at www.sisfirst.com. She is a world traveler; enjoys teaching and mentoring up-and-coming ASC leaders, and public speaking.
Get an update on the 2020 reimbursement changes to Medicare’s ASC payment system, including any new procedures added to the final list of those eligible to be performed in an ASC setting. Discuss the American Medical Association’s CPT changes per specialty of new, revised and deleted procedures applicable to ASC facilities that will take effect January 1, 2020 and examine reimbursement potentials and comparisons from the past year.
AEU Content Area: Financial
Faculty:
Cristina Bentin, CMA, CCS-P, COC, CPPM is the president of Coding Compliance Management, LLC, a healthcare consulting company specializing in Ambulatory Surgery Centers with emphasis on business operations assessments, HIPAA training, coding support/audits and training. Ms. Bentin is recognized as an ASC revenue cycle educator, speaker, and writer with over 27+ years of hands-on experience in ASC multi-specialty facility and physician office revenue cycle operations. Cristina's expertise extends to her involvement in federal fraud investigations to include her role as expert witness. Cristina currently serves on the education and programs committee for the ASC Association (ASCA).
Understanding how to read the basic financial statements (income statements, balance sheets and cash flow statements) is an essential job requirement for every ASC administrator. Examine each of these financial statements in detail, exploring their structure, purpose and relationship to the other documents. Discuss the building blocks of these statements and gain a better understanding of how transactions are summarized to create financial information.
AEU Content Area: Financial
Faculty:
Terry is Vice President of Ambulatory Surgery Centers for Community Health Systems in Franklin, Tennessee. The CHS portfolio includes over 100 hospitals and 25 ASCs throughout the United States. Terry served as President of the national ASC Association (ASCA) from 2014 to 2016 and as President of the California Surgery Center Association (CASA) from 2012 to 2014. Terry was Vice President of Operations for two national surgery center companies and has managed surgery centers and surgical hospitals in 15 different states.
Terry is a Certified Public Accountant (CPA), Certified Management Accountant (CMA) and a Certified Administrator Surgery Center (CASC). He holds a master’s degree in Healthcare Administration and an undergraduate degree in Accounting. He served as faculty for the University of Florida as adjunct assistant professor in their Masters in Healthcare Administration program. He retired as Commander in the United States Navy Reserve after 24 years of military service.
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| 8:35am–10:05am |
Managing risk can reduce patient and staff injuries and protect your ASC's reputation and financial health. Learn how to assess adverse events, errors in plan of care or in execution of the plan, and process breakdowns. Take away key strategies that can make a difference in patient care, efficiency and staff involvement.
AEU Content Area: Quality Management
Faculty:
Sandra was a hospital administrator for several years before opening and managing surgery centers as an administrator and as a consultant. Her experience was highlighted in an AMA news article about peer review proceedings at a hospital corporation. She has written articles and presented case studies on peer review, assisted corporate and independent surgery centers in managing peer review activities and adherence to medical staff bylaws and has managed state and national reporting of peer review results for numerous surgery centers. Sandra is a Certified Professional in Healthcare Risk Management, CASC, and Certified in Quality Management.
Coding and revenue cycle assessments can reveal valuable insights about an ASC’s financial health and viability. Facilities should not only establish and implement internal and external auditing processes for all areas of their revenue cycles, but also analyze the findings, identify weak links, develop problem resolutions and monitor any changes to determine progress. Examine common areas of the revenue cycle that you should be monitoring; discuss performance objectives, monitoring frequency and accuracy goals; and explore the importance of due diligence coding audits.
AEU Content Area: Financial
Faculty:
Cristina Bentin, CMA, CCS-P, COC, CPPM is the president of Coding Compliance Management, LLC, a healthcare consulting company specializing in Ambulatory Surgery Centers with emphasis on business operations assessments, HIPAA training, coding support/audits and training. Ms. Bentin is recognized as an ASC revenue cycle educator, speaker, and writer with over 27+ years of hands-on experience in ASC multi-specialty facility and physician office revenue cycle operations. Cristina's expertise extends to her involvement in federal fraud investigations to include her role as expert witness. Cristina currently serves on the education and programs committee for the ASC Association (ASCA).
Vivian has worked in all departments of revenue cycle for both physician practices and ASCs for the last 25 years. She is currently the Regional Business Office Director for Surgery Partners overseeing multiple ASC business offices.
Master the basics of ASC revenue cycle management and learn how your revenue cycle impacts the financial health of your facility. Study the most commonly used metrics: identify their meaning, learn how to calculate them and find out how to compare them to best practices. Look at the most common reports to run and use for effective revenue cycle management.
AEU Content Area: Financial
Faculty:
Throughout his 20+ year career in healthcare revenue cycle management, Michael Orseno has constantly worked to transform the medical business office with advanced automation, measurement, and staffing best- practices. He is the founder of Acuet RCM, an industry-leading revenue cycle management firm located in Chicago, IL. His unique service model consistently improves financial outcomes while delivering increased efficiency and control.
Previously Orseno led Regent RCM, an independent division of ASC management and development company Regent Surgical Health. Prior to joining Regent, Orseno served as Revenue Cycle Administrator for the Chicago Institute of Neurosurgery and Neuroresearch. He received a Master of Science Degree in Health Systems Management from Rush University Medical Center and a Bachelor of Arts Degree in Public Administration from Augustana College.
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| 10:05am–10:30am |
Take a moment to try some uniquely New Orleans flavor during our morning coffee break.
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| 10:30am–12:00pm |
If you need a basic overview of federal regulations that impact ASCs, this is the session you’ve been looking for. Focus on Medicare payment policy, survey and certification and quality reporting requirements for ASCs, and discuss recent developments in those areas.
AEU Content Area: Regulatory and Legal Issues
Faculty:
Kara Marshall Newbury serves as director, government affairs and regulatory counsel for the Ambulatory Surgery Center Association (ASCA), and through these roles spearheads ASCA’s federal advocacy efforts. Kara previously coordinated state legislative, regulatory and public affairs for the association. Before joining ASCA, Kara served as the assistant director, state government affairs at the National Association of Professional Employer Organizations and staff attorney and director of government relations for the Community Financial Services Association. Kara received her undergraduate and law degree from The Ohio State University.
Review anatomy, terminology and coding basics for urology and GI procedures. Examine some of the more common surgical urology procedures performed and discuss CPT coding, ICD-10 diagnosis coding, use of modifiers in urology and AMA versus CCI edits. Investigate common causes—and identify solutions—for denials of GI procedures performed in the ASC setting.
AEU Content Area: Financial
Faculty:
Cindy Wulbern is a Performance Improvement Analyst for Surgical Care Affiliates, Inc., which is one of the largest providers of outpatient surgery in the United States. Based in Deerfield, Illinois, the company has a network of more than 200 ambulatory surgery centers located in 35 states. After 7 years as a radiology coder, Cindy was hired as an ambulatory surgery center coder in 2000 and has been with SCA since, specializing in urology coding. Along the way Cindy has earned several AAPC credentials including COSC, CASCC, CUC and CIRCC. Cindy, along with her teammates in the Performance Improvement department, provides education and training in all specialties for remote coders employed by SCA. Cindy also spoke at the ASCA Winter Seminar held in San Diego, CA. Cindy resides in Los Banos, CA with her husband Gary and 3 cats. She may be contacted at mrslive4ever@aol.com.
Salaries, wages and benefits (SWB) is the largest single expense line item for most ASCs. It’s also the most controllable—yet many ASCs lack the tools necessary to improve spending in this category. Identify effective ways to track staffing and eliminate unnecessary staff time. Review industry benchmarks on salary spend, staff hours and benefits, and discuss tactics you can use to reduce spending and optimize productivity at your ASC.
AEU Content Area: Financial
Faculty:
Terry is Vice President of Ambulatory Surgery Centers for Community Health Systems in Franklin, Tennessee. The CHS portfolio includes over 100 hospitals and 25 ASCs throughout the United States. Terry served as President of the national ASC Association (ASCA) from 2014 to 2016 and as President of the California Surgery Center Association (CASA) from 2012 to 2014. Terry was Vice President of Operations for two national surgery center companies and has managed surgery centers and surgical hospitals in 15 different states.
Terry is a Certified Public Accountant (CPA), Certified Management Accountant (CMA) and a Certified Administrator Surgery Center (CASC). He holds a master’s degree in Healthcare Administration and an undergraduate degree in Accounting. He served as faculty for the University of Florida as adjunct assistant professor in their Masters in Healthcare Administration program. He retired as Commander in the United States Navy Reserve after 24 years of military service.
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| 12:00pm–12:45pm |
Head downstairs to enjoy a lunch featuring some traditional New Orleans flavors, including gumbo, po-boy sandwiches and king cake for dessert.
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| 12:45pm–1:45pm |
Appropriate documentation in patient records is a topic all nurses were taught in college, but it’s sometimes a challenge in ASCs. The basic "rules" apply whether you’re using paper or electronic records and are essential in protecting the patient, your license and your ASC. Review the purpose of accurate documentation and explore its importance from the perspectives of patient safety and risk management. Examine documentation requirements for ASCs, consider legal issues associated with nursing documentation and discuss methods of identifying errors in a patient record.
AEU Content Area: Regulatory and Legal Issues
Faculty:
Debra Stinchcomb MBA, BSN, RN, CASC – Consultant; Progressive Surgical Solutions. Debra Stinchcomb has 30 years of health care experience including development, clinical, administrative, operations and sales. The last 20 years have been focused exclusively in the ASC industry.
Her responsibilities have included budget development/management, revenue/expense management, contract negotiation, licensing/certification/accreditation compliance, marketing, risk management, quality improvement and benchmarking.
Debra is a Registered Nurse having received her BSN and MBA. She is the founder/past President of Arkansas Ambulatory Surgery Association and has served nationally as a past board member of FASA and the ASC Association. She is currently the President of the Arkansas Ambulatory Surgery Association.
She received her CASC credential in 2002.
Debra was an AAAHC surveyor 2001 - 2007 and is Past Chair of the Ambulatory Joint Commission Professional and Technical Advisory Committee.
Debra is Chair of the Quality Committee of ASCA.
Spine procedures continue to migrate to the ASC setting. Join this session for a close-up look at the best ways to navigate both basic and advanced spine coding. Gain insights into how these procedures are being performed and learn what to look for in the operative report.
AEU Content Area: Financial
Faculty:
As a Certified Professional Coder for over a decade, Alison Kuley is one of the nation’s preeminent experts in the field of spine coding. Clients around the country seek out Alison for guidance on complex coding cases. She expanded her expertise when she completed the AAPC requirement for ICD-10 certification and was instrumental in guiding her clients through the daunting transition.
Prior to National Medical, Alison worked at Litchfield Hills Orthopedics where she was a rising star and ran the entire revenue cycle staff. With her extensive experience of orthopedics and spine, Alison is an expert in process, procedures and reimbursement methodologies in these complex and ever-changing specialties. She works closely with her clients to make sure they are compliant and understands what is needed to code these cases accurately. Alison has shared her knowledge as a speaker on complex spine and pain coding for Becker’s ASC Review and has presented on ICD-10 at a number of industry conferences.
Looking to purchase new equipment? Are you thinking about adding a new surgeon or do you need to replace one who’s planning to retire? Join this interactive introductory session to learn how to use breakeven and sensitivity analysis to better manage and improve your ASC’s bottom line. We will walk through the steps required to make sound financial decisions when case costing, adding new surgeons or specialties, managing staffing expenses and purchasing new equipment. Gain a deeper understanding of how volume, pricing and cost control impacts your center and the processes used to evaluate various “what if” scenarios.
AEU Content Area: Financial
Faculty:
James Dauterive serves as Acumen’s Vice President of Accounting and Finance. James is responsible for the ASC’s financial reporting/analysis, annual budgets, distributions, partnership buy ins/outs, and tax matters. He also provides due diligence and proforma financial analysis related to ASC acquisitions and startups.
Mr. Dauterive previously served as VP of Finance for EthosPartners Healthcare Management Group where he was responsible for all of the company’s finance and accounting matters. Prior to joining EthosPartners, Mr. Dauterive was VP of Operations/Controller for Byrne Healthcare, which was acquired by EthosPartners. Mr. Dauterive brings 19 years of experience in finance, accounting, and tax, and has held positions at highly reputable organizations like Deloitte & Touche, LLP and Comcast Corporation.
Mr. Dauterive is a Certified Public Accountant. He received his Masters in Taxation from the University of Denver and his BS in Business Administration from the University of Southwestern Louisiana.
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| 1:50pm–2:50pm |
Your ASC’s quality committee, which operates under the guidance of your facility’s governing body, is charged with monitoring and guiding your facility’s Quality Assurance and Performance Improvement (QAPI) program and patient safety activities. Get tips for developing a robust quality committee that is engaged and successful. Review the activities and documentation required from committee meetings and project reports to ensure your facility is meeting all applicable regulatory and accreditation standards.
AEU Content Area: Quality Management
Faculty:
Jan currently serves as the Sr. Director of Regulatory for AMSURG, providing regulatory support for more than 250 ASCs. Jan has served on ambulatory advisory panels for AORN, Joint Commission and the ASC Quality Collaboration. Jan has authored a book over compliance with Joint Commission standards and has had several publications in the AORN Journal. Jan is a certified healthcare professional and has been in the Ambulatory Surgery Industry since 1985, serving as an expert speaker on numerous nationwide audio and live conferences over quality, regulatory and accreditation issues.
Make sure you’re coding properly for pain management procedures ranging from trigger point injections to spinal code stimulators. Explore anatomy, code sets, documentation challenges related to pain procedures and common pain coding errors. Find out what’s new in pain management coding for 2020. Discuss CMS local coverage determinations, medical policies and medical necessity.
AEU Content Area: Financial
Faculty:
Tamara is considered to be the one of the strongest coders in the ASC industry. She joined National Medical Billing Services in 2004, and today serves as Vice President of Coding. In this position, Tamara is responsible for overseeing the largest coding staff in the country as well as a client with 65 locations. She also developed a training program for new coders and also ensures that she and her team focus on getting extensive continuing education in ASC coding to ensure that all NMBS coders stay current with all of the trends and changes in the industry.Tamara began her career at SmithKline Clinical Laboratories as a medical technologist. She then moved into various healthcare roles before joining National Medical. She is a frequent speaker at industry conferences, including ASCA and Becker’s ASC. Tamara has contributed to numerous industry publications. Tamara earned a B.S. in Biology from St. Louis University.
Join this session for a review of the various financial statements used by ASCs. Discuss how these documents can be used by internal users, such as managers and governing body members, as well as external users, such as banks and governmental agencies.
AEU Content Area: Financial
Faculty:
John Goehle is the Chief Operating Officer and partner with Ambulatory Healthcare Strategies, LLC - a Rochester, New York-based ASC management and consulting services company.
Prior to forming AHS, Mr. Goehle developed and managed two Rochester New York-based ambulatory surgery centers, and provided management consulting services for a wide range of health care organizations, primarily in the Northeast.
Mr. Goehle has a Masters Degree in Business Administration from Heriot-Watt University in Edinburgh Scotland, and a Bachelor of Science Degree in Accounting from Ithaca College in Upstate New York. He holds the prestigious Certified Administrator Surgery Center (CASC) credential. He is also a Certified Public Accountant in the State of New York. Mr. Goehle is also an accreditation surveyor with the Accreditation Association for Ambulatory Healthcare (AAAHC).
Mr. Goehle is the host of the ASC Podcast with John Goehle available on iTunes and Google Play. He is also is frequent speaker on health care finance, technology and administration and has authored or co-authored eight books related to the ASC Industry including Ambulatory Surgery Center Governance - A Guide for Ambulatory Surgery Center Owners & Governing Body Members and The Survey Guide for ASCs – A Guide to the CMS Conditions of Coverage & Interpretive Guidelines for Ambulatory Surgery Centers. He is a former board member with the Federated Ambulatory Surgery Association and one of the founders of the New York State Association of Ambulatory Surgery Centers.
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| 2:50pm–3:05pm |
Take a quick break to enjoy a snack or a drink before heading back to the educational sessions.
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| 3:05pm–4:05pm |
Not only is peer review an integral piece of the governing body’s responsibilities and your reappointment process, it’s also a compliance requirement by most states, CMS and your accrediting body. Join this session for a deep dive into peer review. Discuss the two types of peer review (random and incident-based), learn how peer review relates to your QAPI activities, discover how peer review can be more than an exercise in paperwork and find out how to use peer review results in the reappointment process.
AEU Content Area: Quality Management
Faculty:
Debra Stinchcomb MBA, BSN, RN, CASC – Consultant; Progressive Surgical Solutions. Debra Stinchcomb has 30 years of health care experience including development, clinical, administrative, operations and sales. The last 20 years have been focused exclusively in the ASC industry.
Her responsibilities have included budget development/management, revenue/expense management, contract negotiation, licensing/certification/accreditation compliance, marketing, risk management, quality improvement and benchmarking.
Debra is a Registered Nurse having received her BSN and MBA. She is the founder/past President of Arkansas Ambulatory Surgery Association and has served nationally as a past board member of FASA and the ASC Association. She is currently the President of the Arkansas Ambulatory Surgery Association.
She received her CASC credential in 2002.
Debra was an AAAHC surveyor 2001 - 2007 and is Past Chair of the Ambulatory Joint Commission Professional and Technical Advisory Committee.
Debra is Chair of the Quality Committee of ASCA.
Join this session for an in-depth review of ear, nose and throat (ENT) procedure coding. Discuss ICD diagnosis indexing tips and descriptions, get the latest ENT coding updates and find out how to apply this knowledge using real-life case studies and examples.
AEU Content Area: Financial
Faculty:
Jessica has 15 years of Ambulatory Surgery Center experience, with 8 of them in multi-specialty coding. She is a graduate of the University of South Carolina with a Masters in Health Administration and came to Surgical Notes as a contract coder in 2015. She is currently a senior coding manager and specializes in spine, device intensive, plastic, integumentary and FESS/ENT coding. In her free time she enjoys being outdoors-camping, hiking, snowboarding, and paddleboarding with her husband and five year old daughter.
Regularly monitoring and analyzing your ASC’s finances is critical to ensuring the financial health of your facility. Join this session to explore techniques and tools you can use to evaluate your ASC’s financial results. Discuss ratio analysis, tracking and trending, the comparison of financial data to various benchmarks and other tools you can use to improve your ASC’s bottom line.
AEU Content Area: Financial
Faculty:
John Goehle is the Chief Operating Officer and partner with Ambulatory Healthcare Strategies, LLC - a Rochester, New York-based ASC management and consulting services company.
Prior to forming AHS, Mr. Goehle developed and managed two Rochester New York-based ambulatory surgery centers, and provided management consulting services for a wide range of health care organizations, primarily in the Northeast.
Mr. Goehle has a Masters Degree in Business Administration from Heriot-Watt University in Edinburgh Scotland, and a Bachelor of Science Degree in Accounting from Ithaca College in Upstate New York. He holds the prestigious Certified Administrator Surgery Center (CASC) credential. He is also a Certified Public Accountant in the State of New York. Mr. Goehle is also an accreditation surveyor with the Accreditation Association for Ambulatory Healthcare (AAAHC).
Mr. Goehle is the host of the ASC Podcast with John Goehle available on iTunes and Google Play. He is also is frequent speaker on health care finance, technology and administration and has authored or co-authored eight books related to the ASC Industry including Ambulatory Surgery Center Governance - A Guide for Ambulatory Surgery Center Owners & Governing Body Members and The Survey Guide for ASCs – A Guide to the CMS Conditions of Coverage & Interpretive Guidelines for Ambulatory Surgery Centers. He is a former board member with the Federated Ambulatory Surgery Association and one of the founders of the New York State Association of Ambulatory Surgery Centers.
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| 4:10pm–5:10pm |
Do you ever feel like there isn't enough time to breathe, let alone finish everything on your to-do list? Discuss the administrative, clinical and environmental tasks you’re required to perform monthly and quarterly and consider additional suggested tasks that can help you keep your ASC on track and compliant. Explore ways to create a process that’s less daunting but still enables you to accomplish these time-sensitive tasks. Come prepared to ask questions, share tips about practices that work in your ASC and receive guidance on areas you’d like to improve. Audience participation is encouraged.
AEU Content Area: Regulatory and Legal Issues
Faculty:
Laurie has been in the ASC industry for the last 22 years with over 18 in a leadership and administrative role. Her certifications include Certified Nurse Operating Room (CNOR), Certified Registered Nurse First Assist (CRNFA), and the prestigious Certified Administrator Surgery Center (CASC). She is also a Legal Nurse Consultant (LNC). Prior to relocating to Cape Cod MA, she served as an executive board member and secretary for the New Hampshire ASC Association, during which time she lobbied for ASC reform both in the state of New Hampshire and Washington DC.
Laurie has provided leadership for both large and small multi-specialty ASCs. She currently is a deemed-status surveyor for AAAHC, sits on the education committee for ASCA , is the Director of Nursing Services for a national ASC consulting company, provides legal nurse consultant expertise and works clinically in two ASCs.
Gain a deeper understanding of ophthalmology coding, including procedures on eyelids, corneas and retinas. Review pertinent diagnosis coding guidelines as well as local and national coverage determinations to help ensure medical necessity requirements are met.
AEU Content Area: Financial
Faculty:
Mandeara Frye is the Director of Coding at Surgical Notes. She’s worked in healthcare since 2000, with extensive ASC experience beginning in 2008 that includes business office management, revenue cycle, coding, and auditing. Mandeara is a certified auditor and enjoys training and educating coders and providers on correct, compliant coding. She is a graduate of Weber State University with a Bachelors in Health Information Management.
To be financially successful, ASCs must carefully monitor their financial operations and develop tools to plan for their needs. Preparing budgets and financial projections can assist ASCs in controlling their costs and evaluating alternate courses of action. Review the steps involved in preparing useful projections and budgets that can help you keep your ASC in the black.
AEU Content Area: Financial
Faculty:
John Goehle is the Chief Operating Officer and partner with Ambulatory Healthcare Strategies, LLC - a Rochester, New York-based ASC management and consulting services company.
Prior to forming AHS, Mr. Goehle developed and managed two Rochester New York-based ambulatory surgery centers, and provided management consulting services for a wide range of health care organizations, primarily in the Northeast.
Mr. Goehle has a Masters Degree in Business Administration from Heriot-Watt University in Edinburgh Scotland, and a Bachelor of Science Degree in Accounting from Ithaca College in Upstate New York. He holds the prestigious Certified Administrator Surgery Center (CASC) credential. He is also a Certified Public Accountant in the State of New York. Mr. Goehle is also an accreditation surveyor with the Accreditation Association for Ambulatory Healthcare (AAAHC).
Mr. Goehle is the host of the ASC Podcast with John Goehle available on iTunes and Google Play. He is also is frequent speaker on health care finance, technology and administration and has authored or co-authored eight books related to the ASC Industry including Ambulatory Surgery Center Governance - A Guide for Ambulatory Surgery Center Owners & Governing Body Members and The Survey Guide for ASCs – A Guide to the CMS Conditions of Coverage & Interpretive Guidelines for Ambulatory Surgery Centers. He is a former board member with the Federated Ambulatory Surgery Association and one of the founders of the New York State Association of Ambulatory Surgery Centers.
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