Anesthesia Business Consultants

Weekly eAlerts Covering Regulatory Changes, Compliance Reminders &
Other Changes in the Anesthesia Industry

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Anesthesia Industry eAlerts

Sent to subscribers every Monday morning, our eAlerts deliver timely updates on regulatory, legislative and practice management developments of interest to anesthesia professionals.

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  • News for Anesthesia Groups: ACA Repeal, ADRs, Opioid Prescribing and Medicare ID Cards

    September 25, 2017

    The current Republican proposal to repeal the Affordable Care Act (ACA), known as Graham-Cassidy for its lead sponsors (Senators Lindsey Graham of South Carolina and Bill Cassidy of Louisiana), could come up for a Senate vote this week. Essentially, the bill would change or eliminate such major provisions of the ACA as subsidized insurance coverage and Medicaid expansion, and give federal block grants to states to use in large part as they choose.

  • CMS Emergency Waivers Help Hospitals and Anesthesia Providers Care for Hurricane-Affected Patients

    September 18, 2017

    Anesthesia care providers, if you serve Medicare, Medicaid and Children’s Health Insurance Program (CHIP) patients in the counties and geographical areas impacted by Hurricane Irma and Hurricane Harvey, or have patients coming into your facilities who have been displaced from their homes and are in need of care, you need to know how government payers are responding to the crises and the compliance implications of these actions for your facilities and groups.

  • A Compliance Reminder for Anesthesia Groups: Check Monthly OIG Work Plan Updates

    September 11, 2017

    Anesthesia practices should be aware that the Health and Human Services Office of Inspector General (OIG) has converted to a "dynamic, web-based” format for its annual Work Plan that now publishes updates monthly rather than once or twice yearly.  The change reflects the agency’s effort to “enhance transparency around OIG's continuous work planning efforts” and more effectively “respond to emerging issues.”

  • Anesthesia Services and ‘Surprise’ Billing Laws: How Are Practices Managing?

    September 5, 2017

    Given the intricacy of the interrelationships among payers, hospitals and clinicians (including anesthesia care providers), the evolving healthcare marketplace and the growing level of outrage among patients and consumer groups, balance (surprise) billing is certain to remain rooted in the spotlight for years.

  • The ACA’s Impact on Anesthesia Practices: What We’ve Learned

    August 28, 2017

    In March 2010, Congress passed and President Obama signed the Patient Protection and Affordable Care Act (ACA).  It would take a number of years for the various provisions of what we now refer to as Obamacare to be implemented.  By 2014, these would include significant protections for patients trying to obtain and maintain health insurance, such as the elimination of pre-existing medical condition limitations, guarantees of key insurance provisions, such as obstetric care, and new ways to obtain health insurance.

  • Anesthesia Groups, Take Note: Data Breach Website Helps Providers Research and Report

    August 21, 2017

    It’s every anesthesia practice’s nightmare, but it happened last year to a large anesthesiology and pain management group in Arizona.  A health data breach from unauthorized access by a third party affected nearly 883,000 patients.  The information included patient names, providers’ names, dates of service, places of treatment, names of health insurers, insurance identification numbers, diagnosis and treatment codes, and, in some cases, Social Security numbers, bank account information, tax information, and more.

  • Anesthesiologist Assistants as Physician Extenders: An Option Whose Time Has Come?

    August 14, 2017

    The use of physician extenders has become commonplace in medicine and anesthesia is no exception.  More than 75 percent of all anesthetics are administered by CRNAs.  Do AAs offer a viable alternative?  Our perception is that most anesthesiologists still know relatively little about this profession, which is understandable given the current state of AA involvement across the country.  Only anesthesiologists in Ohio and Georgia have much experience working with AAs.

  • The Future of Payment for Ultrasonic Guidance: Predictions for Anesthesia Providers

    August 7, 2017

    The use of ultrasonic guidance (USG) in the placement of nerve blocks and catheters for postoperative pain management has become a standard of care for most anesthesia practices.  It is also widely used for confirmation of vascular access, especially for the placement of central venous pressure lines (CVPs).

  • EMRs in Anesthesia: Smart Tips for a Smoother Transition

    July 31, 2017

    Peruse the most recent graph showing electronic health record (EHR) adoption rates among hospitals, and you’ll see a curve sloping steadily and optimistically upward.  In 2015, nearly all reported hospitals (96 percent) possessed certified EHR technology, and 84 percent had adopted EHRs with advanced functionality.  In addition, more than 80 percent of non-federal acute care hospitals had adopted all of the functionalities of a basic EHR—a nine-fold increase since 2008, before passage of the HITECH act of 2009, according to the Office of the National Coordinator for Health Information Technology.

  • On Diversion, Depression and Emergency Department Visits: An Update on Opioids for Pain Specialists and Anesthesia Providers

    July 24, 2017

    Opioid prescribing in the United States quadrupled between 1999 and 2015, the Centers for Disease Control and Prevention (CDC) reports. In that time, more than 183,000 people died from overdoses related to prescription opioids.  These numbers alone point to the need for pain specialists, anesthesiologists and nurse anesthetists to stay abreast of news and research about opioids that can be used to inform and improve their practices.  The eclectic array of items presented here provides a minute sampling of the current information.  Hopefully, it will be useful and spark further thinking and discussion.

  • CMS Releases MACRA/QPP Year 2 Proposal: Highlights for Anesthesiologists and Nurse Anesthetists

    July 17, 2017

    The Centers for Medicare and Medicaid Services (CMS) has published a proposed rule for the second year of the Quality Payment Program (QPP), performance year 2018 (payment year 2020).  The agency says it is “continuing to go slow and use stakeholder feedback to find ways to streamline and reduce clinician burden, and make it easier for clinicians to participate and put their patients first.”  Comments on the proposed rule are invited by August 21, 2017.

  • What Are Comparative Billing Reports and Why Should Anesthesia Groups Care About Them?

    July 10, 2017

    They might seem innocuous and inconsequential in your anesthesia practice’s vast sea of paperwork and electronic data, but comparative billing reports (CBRs), administered by the Centers for Medicare and Medicaid Services (CMS) and prepared by a data mining company called eGlobalTech (eGT), are not something to ignore.  Anesthesia groups need to know what CBRs are and educate billing and other office staff about the importance of referring these reports to group leadership and the appropriate clinicians in a timely fashion.

  • A Medicaid Myth: News for Anesthesia Practitioners

    July 3, 2017

    A recent survey by the Commonwealth Fund debunks the commonly-held belief that Medicaid offers an inferior level of care.  According to the survey, Medicaid enrollees report better care experiences than the uninsured and similar experiences as the privately insured; receive preventive services at higher rates than the uninsured; and have fewer problems paying medical bills and fewer cost-related access problems than the privately insured and uninsured.  Contrary to widespread perception, “Medicaid is giving people what they want and need—affordable health insurance and access to care,” said Sarah Collins, the Commonwealth Fund’s vice president for healthcare coverage.

  • Anesthesia Practitioners: CMS Prepares for New Physician Compare Star-Based Rating System

    June 26, 2017

    In late 2017, the Centers for Medicare and Medicaid Services (CMS) will implement a new benchmark and five-star quality rating system for clinicians and group practices on Physician Compare, the website mandated by the Affordable Care Act (ACA) to help patients, families and caregivers make more informed choices regarding healthcare services.  The changes will ramp up the level of information readily available to patients and others about clinician and group practice performance on clinical quality measures, and push healthcare providers, including anesthesia providers and pain specialists, into a new phase of accelerated transparency.  Healthcare consumer sites such as Healthgrades and Vitals are likely to incorporate the information into their own portals.

  • Attitudes About Aging and End-of-Life Care: What Anesthesia Providers Should Know

    June 19, 2017

    U.S. Census Bureau projections indicate that Americans 65 and older will make up 24 percent of the U.S. population by 2060.  A majority of adults in the U.S. say that the government is “not too prepared” or “not at all prepared” to deal with the aging population, according to a recent survey conducted by the Kaiser Family Foundation in partnership with The Economist.  This study covered views and experiences related to aging and end-of-life medical care in the U.S., Italy, Japan and Brazil, among a nationally representative sample of adults ages 18 and older.

  • AI and Machine Learning in Healthcare and Anesthesia: Where Are We Going?

    June 12, 2017

    The growth of big data, advances in software and hardware, and the development of cloud-based business models are fueling an explosion in the use of machine learning (artificial intelligence), particularly in healthcare. All clinicians, including anesthesiologists and nurse anesthetists, are likely to find themselves incorporating ML tools and capabilities into their practices in the not-toodistant future. We offer an overview of ML’s current and future applications in healthcare and medicine, including its strengths and limitations, as well as strategies for avoiding pitfalls.

  • An AHCA (H.R. 1628) Update for Anesthesia Groups

    June 5, 2017

    The latest version of the House bill to repeal and replace the Affordable Care Act, passed in early May, would reduce the federal deficit by $119 billion and result in 23 million additional uninsured Americans by 2026 compared with current law, according to a new report from the Congressional Budget Office and the Joint Committee on Taxation. We highlight key findings from the report and provisions of the revised bill, including the MacArthur and Upton Amendments related to patients with pre-existing conditions, and review responses from organized medicine and groups both for and against the proposal.

  • Anesthesia Business Consultants Approved as a QCDR for 2017

    June 1, 2017

    ABC is pleased to announce that for the second year in a row it has been approved to be a Qualified Clinical Data Registry (QCDR) for the 2017 reporting year via its company-developed MiraMed QCDR.

  • Cybersecurity News and Best Practices for Anesthesia Groups

    May 30, 2017

    Do the names WannaCrypt or WannaCry mean anything to you? They well might, by now. In a global cyberattack that began on May 12, 2017, this aggressive form of ransomware infected more than 300,000 Windows PCs in 150 countries across Europe, Latin America and Asia.

  • Negotiating Exclusive Hospital Arrangements: Strategies for Anesthesia Groups from AIAPM (Part 2)

    May 22, 2017

    The current highly competitive atmosphere in anesthesia means that practices must be able to build and nurture solid relationships with their hospitals in order to win and keep exclusive contracts.

  • Negotiating Exclusive Hospital Arrangements: Strategies for Anesthesia Groups from AIAPM (Part 1)

    May 15, 2017

    In an anesthesia market rife with consolidation, mergers and acquisitions, the threat of shrinking payments due to new and complex payment programs, and general uncertainty on the regulatory and legislative fronts, the need for anesthesia groups to be solidly aligned with their hospitals is, at present, exceptionally strong.