Episode Details

On this Episode of the ASC Podcast with John Goehle we discuss the Latest News, Recent experiences on Surveys, and update on the Emergency Use Authorizations for the COVID-19 Vaccines, and in our focus segment interview Cristina Bentin with Coding Compliance Management about current coding and billing challenges

This episode is sponsored by Surgical Information Systems, triValence and  Ambulatory Healthcare Strategies.

Resources from this Episode:

• Prior Authorization for United Healthcare GI Cases:
  • https://associationdatabase.com/aws/OAASC/pt/sd/news_article/506938/_PARENT/layout_details/true
  • https://www.uhcprovider.com/en/resource-library/news/2023/new-requirements-gastroenterology-services.html
• FDA authorizes changes to simplify use of bivalent mRNA COVID-19 vaccines
  • https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/pfizer-biontech-covid-19-vaccines
• Contact Cristina Bentin:
  • Cristina Bentin, CMA, CPPM, CCS-P, COC
  • President, Coding Compliance Management, LLC
  • 225.405.7315 mobile
  • 225.752.8390 office
  • Email: cristina@ccmpro.com

Important Resources for ASCs:

• Conditions for Coverage:

• https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150

• Infection Control Survey Tool (Used by Surveyors for Infection Control)
  • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf
• Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)
  • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf
  • https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som
• Policy & Memos to States and Regions
  • CMS Quality Safety & Oversight