Medicare Announces Conditions for Coverage Exception for Same-Day Scheduling of Surgery

Medicare announced that it will allow an exception to the Conditions for Coverage for the patient notices required in advance of the day of surgery in certain cases, according to a news release from the ASC Association.

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CMS said that ASCs are not required to provide the required notice on a first-time patient when the referral to the ASC for surgery is “made on that same date and the referring physician indicates, in writing, that it is medically necessary for the patient to have the surgery on the same day, and that surgery in an ASC setting is suitable for that patient,” according to the release.

In this instance, ASCs are required to provide notice prior to obtaining the patient’s informed consent.

According to CMS, same-day surgeries should be an infrequent occurrence as most ASCs perform elective surgery, and frequent occurrence of such cases may represent noncompliance with the advance notice requirement, according to the release.

Find out more information regarding this change and the new Conditions for Coverage.

Learn more about the ASC Association.

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