Catalog Number : nad1661
Title : CMS ASC Curriculum: Identify Changes to the Conditions for Coverage that Affect Your ASC Medical Records
Speaker : Sue Dill

Webplay Recording Date : 6-23-2010
Webplay Price : $ 160 for two weeks viewing

Webinar Purpose:

CMS issued Conditions for Coverage that every freestanding ambulatory surgery center (ASC) must meet if the ambulatory surgery center want paid for taking care of Medicare and Medicaid patients. These standards apply to all patients treated in the ASC including worker comp and patients with commercial insurance. These standards became effective on May 18, 2009 and were amended December 30, 2009. These interpretive guidelines contain 167 pages and 267 tag numbers.

There is a section on medical records services which includes what must be documented in the medical record. This includes things such as the history and physical, informed consent, and anesthesia documentation requirements.

Target Audience: 

• Anyone who is involved in the ASC in health information management or responsible for the maintenance or retention of medical records should attend
• All nurses, physicians, and other clinicians who are responsible for documenting in the medical record should also attend
• patient safety officer
• administrator
• compliance officer
• risk manager
• performance improvement and quality coordinator staff

Webinar Objectives:

• Recall the CMS changes to the ASC Conditions for Coverage that affect medical records
• Describe how to locate a copy of the ASC Conditions for Coverage
• Discuss what must be in the informed consent form
• Recall what must be included in an operative report
• Describe that a history and physical must be completed and be in the patient’s medical record

A Few of the Topics that will be covered:

• Introduction to ASC CfC
• How to obtain a copy
• How to keep apprised of changes
• CMS ASC website
• Complete and accurate medical records
• History and physical
• Use to ensure adequate care
• Organization of medical records
• Storage, collection and use of medical records
• Medical record policies and procedures
• Closed record retention
• Accurate and complete
• Record for every patient
• Form and content of medical records
• Patient identification
• Pre-operative diagnostic studies
• Allergies and abnormal drug reactions
• Anesthesia documentation
• Discharge diagnosis
• Operative report
• Consent
• Other sections related to documentation requirement and medical record standards

Contact Hours:

This course has been approved for 1.2 Iowa Nursing Contact Hours. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.