ASCs question and answers rated A+ 2023

ASCs question and answers rated A+ 2023 history and advent of ASCs - correct answer The first ASC was opened in 1970 by a group of anesthesiologists in Phoenix, AZ. The anesthesiologists were frustrated because of • scheduling delays • limited operating room availability • interruptions caused by emergency cases • policies and procedures of the hospitals. slow "turnover" • department budgets Advantages of an ASC compared to a hospital - correct answer Less expensive lower nosocomial infection rate Increased productivity Greater convenience concept of minimally invasive surgery - correct answer Surgeon makes small incisions and inserts tubes called trocars. Carbon dioxide gas can be used to inflate the area which allows for space to perform the procedure. A camera is inserted into an opening and the video is viewed on a monitor close by. Special instruments placed into the other openings to perform the procedure. Types of scope based procedures - correct answer • Arthroscopy • Laparoscopy • Endoscopy • Laryngoscopy • Cystoscopy • Phacoemulsification What are ASCs - correct answer Ambulatory = Outpatient ASCs are not rural health clinics, urgent care providers, or ambulatory care centers. ASCs see: • Non-emergent cases • Almost every specialty except cardio and neurology Stark Law - correct answer Stark Law (self-referral law) - prohibits a referral of a Medicare/Medicaid patient to an entity a physician or a physician's family member has a financial interest in for any of 12 designated health services. ASC is NOT considered one of the 12 designated health services Federal Anti-Kickback Law - correct answer prohibit the offering, receiving, paying, soliciting any remuneration in exchange for the referral of Medicare/Medicaid patients Exceptions to Anti-Kickback Law called "safe harbors" ASC "safe harbor" criteria (must meet all 3): - correct answer 1. Be in a position to refer patients directly to ASC and perform surgery on such referred patients 2. Derive 1/3 of medical practice income from procedures performed at an ASC 3. Perform at least 1/3 of the procedures that may be performed in an ASC setting at the investment entity ASC AAAHC - correct answer Accreditation Association for Ambulatory Health Care TJC - correct answer The Joint Commission AAAASF - correct answer American Association for Accreditation of Ambulatory Surgery Facilities Hospitals are more likely to treat - correct answer Medicaid coverage African-Americans disabled Medicare beneficiaries