Revised CfCs for ASCs. Based on the 2009 hospital outpatient prospective payment system (OPPS) final rule (¶180,745), certain regulatory changes to the ambulatory surgical centers (ASC) conditions for coverage (CfCs) are effective May 18, 2009. Those regulatory changes include revision to the definition of ASC and to the surgical services CfC regarding anesthetic risk and evaluation; revision and/or reorganization of the governing body and management CfC and laboratory and radiologic services CfC; additions of the CfCs on patient rights, infection control, and patient admission, assessment and discharge; and the renaming of the evaluation of quality CfC to "quality assessment and performance improvement" CfC. Attached to the memorandum is the advance copy of the revised State Operations Manual Appendix L and Exhibit 351, which have been revised to include guidance on the new and revised CfCs as well as more detailed guidance on existing CfCs. Appendix L also details a new survey protocol. Further ASPEN tags for the ASC surveys have been revised and renumbered.
CMS Letter to State Survey Agency Directors, No. S&C-09-37, May 15, 2009.
For more information on this and related topics, consult the CCH® Medicare and Medicaid Guide.
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