CMS to terminate Medicare benefits of ESEC Surgery Center — 5 insights

CMS will terminate its Medicare provider agreement with Oklahoma City-based ESEC Surgery Center at 12:01 a.m. Aug. 18.

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Here’s what you should know:

1. CMS found the surgery center failed to meet minimum health and safety standards required to participate in the Medicare program.

2. CMS also said the ASC did not comply with the Medicare/Medicaid conditions for coverage.

3. CMS cited a history of noncompliance as the rationale behind its decision. CMS surveyors noted noncompliance during surveys in July 2015, November 2017 and June 2018.

4. CMS will no longer provide payment for services to Medicare and/or Medicaid beneficiaries admitted after 12:01 a.m. Aug. 18, unless corrective action is taken.

5. According to Manta, ESEC Surgery Center opened in 2004 and has 24 employees.

Note: A representative of ESEC Surgery Center was unavailable for comment before publication.

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Wednesday, July 29
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Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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