Amblitel News & Events

NEWS & EVENTS

Archive for July, 2012

Estimates for the Insurance Coverage Provisions of the Affordable Care Act Updated for the Recent Supreme Court Decision

Added 07.30.12

On June 28, 2012, the Supreme Court issued a decision that essentially made the expansion of the Medicaid program under the Affordable Care Act (ACA) a state option. CBO and the staff of the Joint Committee on Taxation (JCT) have updated their estimates of the budgetary effects of the health insurance coverage provisions of the ACA to take into account the Supreme Court decision. This report describes those new estimates, how they were derived, and how they differ from the previous ones. The figures do not include the budgetary impact of other provisions of the ACA. Read the rest of this article from the Congressional Budget Office that outlines the reduced cost: more...

Seven States Join National Effort to Advance Medicaid Accountable Care Organizations

Added 07.30.12

The Center for Health Care Strategies (CHCS) has announced that Medicaid agencies from 7... more...

8 Ways the FDA Unique Device Identifier System Will Impact Surgery Centers

Added 07.30.12

The Food and Drug Administration has announced its proposal to create a unique device identification (UDI) system, which will impact both suppliers and providers. The rule itself has its genesis in a report from 1999 stating that 100,000 people die annually as a result of medical errors that could be avoided. In 2004, a law for identifying products using the NDC was created and went into effect in 2006. Pharmaceutical companies were required to print bar codes on their products so they could be scanned at the bedside and in the operating room. Here are the 8 ways: 1. The system will help track implants. 2. Managing supply chain will be easier. 3. Data capturing systems will be more accurate. 4. Focus on the total... more...

South Carolina Restores CON Funding for ASCs, Hospitals

Added 07.30.12

The South Carolina General Assembly has voted to override Gov. Nikki Haley's veto of funding for the state's certificate of need program, according to an ASCA report. Read more at Becker's ASC Review: more...

Propofol Scheduled in Alabama

Added 07.30.12

State's classification will demand secure storage, recordkeeping. Citing a dangerous trend of misuse and abuse, Alabama health authorities have reclassified the anesthetic propofol as a Schedule IV drug, a group which includes such controlled substances as the benzodiazepines Valium (diazepam), Xanax (alprazolam) and Klonopin (clonazepam). Read the rest of this article form Outpatient Surgery Magazine at: more...

Recent OIG Advisory Opinion Cautions Against Certain Anesthesiologist/Ambulatory Surgery Center Arrangements

Added 07.27.12

The OIG recently delivered an unfavorable Advisory Opinion in response to two types of arrangements proposed by an anesthesia services provider. The HHS Office of Inspector General (OIG) recently issued Advisory Opinion No. 12-06 (the "Opinion"), which provides guidance relating to provision of services by an anesthesia services provider (the "Requester") to physician-owned ambulatory surgery centers ("ASCs"). The Opinion is an unfavorable response by the OIG to two types of arrangements proposed by the Requester. Read more detail about the two options and the OIG's response form the article by JD Supra at: more...

CMS proposes two significant changes for OPPS 2013

Added 07.27.12

CMS is proposing two major changes as part of the 2013 Outpatient Prospective Payment System (OPPS) proposed rule, released July 6. One has to do with how CMS proposes to calculate APC relative weights and the other with the reimbursement level for separately payable drugs and biologicals without pass-through status. The 2013 proposed rule is approximately half the size of the 2012 proposed rule and does not contain as many changes. However, the proposed suggestions are significant because they represent a major difference in how CMS has been making payments, says Jugna Shah, MPH, president of Nimitt Consulting in Washington, DC. Read the rest of this article from HCPro at: more...

ASCA Publishes Quality Measure Reporting FAQs

Added 07.27.12

The ASC Association has published a number of frequently asked questions related to surgery center quality measure reporting, according to the ASCA website. The FAQs are divided into the following... more...

Inside the Medicare Accreditation Process: 5 Crucial Points From ASC Inspector Dr. David Watts

Added 07.27.12

David C. Watts, MD, the Vice President of Education for the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF), discusses five key factors in the process of obtaining and maintaining Medicare accreditation in ambulatory surgery centers. 1. The first inspection is typically the easiest one. 2. Inspectors classify non-compliance into three categories. 3. A sufficient number of deficiencies will prompt a re-inspection. 4. The ASC must report bi-annually into an electronic peer review system. 5. Unannounced quality reviews can happen at any time. Read the rest of this article and get more detail on each crucial point from Becker's ASC Review at: more...

What Does Medicare’s 3-Day Payment Rule Mean for Anesthesia and Pain Practices?

Added 07.18.12

Medicare's three-day payment rule reducing payments to physicians in practices that are wholly owned or wholly operated by hospitals for preoperative testing and related procedures will be implemented on July 1, 2012. Another Medicare compliance deadline approaches, and it has attracted a fair amount of attention. The good news is that it will apply to few pain physicians and even fewer anesthesiologists. Sometimes it is necessary to explain a new rule or requirement just so that our readers know not to worry. This is one of those times. Read the rest of this article from Becker's ASC Review at: more...