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Annual Board Retreat & Educational Conference in Aruba

Annual Board Retreat & Educational Conference in Aruba
SMP’s annual Board Retreat and Educational Conference took place last week in Aruba! It was a great learning and sharing experience for all attendees. Speakers provided their expert comments and advised on a wide range of health care and financial operational issues. Of course there was a lot of discussion about the best practices and the future of health care in America. We enjoyed beautiful beaches, great golf and wonderful food as we relaxed and enjoyed the thoughts and experience of health care professionals.
Mark your calendars for our retreat next year in beautiful Belize!

SMP Announces Partnership with Peoria Day Surgery Center

SMP Announces Partnership with Peoria Day Surgery Center

SMP is excited to announce a new partnership with the Peoria Day Surgery Center in Peoria, Illinois.

Peoria Day Surgery Center is a state of the art multi-specialty facility located in Peoria, IL. Peoria Day Surgery Center offers the most advanced medical technology and techniques available. In addition to traditional surgery center services, Peoria Day has a Recovery Care Designation. The Recover Care Designation is a rare and distinct offering which allows for the Center to keep patients for up to 72 hours, post surgery. This Designation allows surgeons and patients the privilege and convenience of recovering patients that need more time to recover. The staff is compassionate and attentive, providing a friendly environment and a comfortable day surgery experience.

Surgical Management Professionals is excited to create new opportunities for Peoria Day Surgery Center. Our goal is to empower its facility with the best possible opportunities for success. We offer our clients a variety of services from planning and development, to management and revenue optimization. As always, SMP is focused on the highest professional and clinical lever of service to all patients.

Peoria Day Surgery Center is licensed with the state of Illinois, certified by Medicare and IDPH, and participates in Caterpillar, United Healthcare, BC/BS, Health Alliance/Cat, PHCS and many other insurance plans. Peoria Day Surgery Center is accredited with the AAAHC.


Employee Handbooks Should Not Be Underestimated

Employee Handbooks Should Not Be Underestimated

Starting up a surgery center requires a lot of dedication, especially when positioning the right candidates for the job. Sabrina Westbrook, administrator for Premier Surgical Center in Madison, Mississippi, says the importance of the employee handbook “should not be underestimated.”

ASC employee handbooks provide staff a “road map” of sorts, outlining how they’re supposed to act and perform. “The handbook should clearly state an employee’s rights and responsibilities while outlining an ASC’s legal obligations as an employer” says Amy Hanisch, director of Human Resources and administrative services at SMP. “It should also provide an overall view of what employees should expect of a company’s culture.”

On top of covering the essentials such as operational details and general workplace rules, employee handbooks should – most of all – be engaging.

“It is often the first document provided to a new hire and sometimes the only document that all employees are required to read,” Hanisch says. “If you believe in your company’s vision, policies and procedures, you should help ensure employees will want to take the time to read about, use and refer to their handbooks regularly.”

Treat your employee handbook as a living document – reviewing, revising and recirculating it every year. As needs arise for possible changes to the handbook, it’s advised to first discuss them with physician owners.

If something happens that is not covered or addressed clearly in the handbook, you’ll have to be sure to learn from it and make edits to the handbook accordingly. Whenever updates are made, clearly communicate any changes and additions to employees and have them sign an acknowledgment stating they were informed of the revisions.

Read the full article here: Build a Useful, Engaging Employee Handbook


Reforming America’s Healthcare System

Reforming America’s Healthcare System

President Trump ordered the US Department of Health and Human Services, US Department of the Treasury and the US Department of Labor to facilitate the development and operation of a health care system that provides high-quality care at affordable prices.

The recently published report addresses the restrictions on physician-owned hospitals beginning on page 73 of the report. Amongst other statements supporting the development and operation of physician-owned hospitals their recommendation as quoted from the report is, “Congress should consider repealing the ACA changes to physician self-referral law that limited physician-owned hospitals.” This is a major development in the long fight to once again allow physicians to own hospitals in the United States. Congratulations to the Physician Hospitals of America organization for their relentless pursuit of equality and quality care at affordable prices.

This is the site where you can find the entire report:
Reforming Americas Healthcare System Through Choice and Competition


ASC’s Receive a 2.1% Increase from Medicare

ASC’s Receive a 2.1% Increase from Medicare

Ambulatory surgery centers will receive an average increase of 2.1% in Medicare payments for all covered procedures. This increase — along with the revision that ties annual updates to the hospital market basket — paints a brighter financial future for ASCs.

The reimbursement reflects a combination of a 2.9% inflation update based on the hospital market basket and a productivity 0.8% reduction mandated by the Affordable Care Act. Please note that this is an average, and that updates may vary significantly by code and specialty.

It is also important to note that CMS does not consider sequestration in its final rule. This statutory 2% reduction remains in effect until at least 2024, unless Congress acts.


Attention to Detail is the Key to SMP’s Success

Attention to Detail is the Key to SMP’s Success

From the desk of Mike Lipomi…

I recently paid a visit to the Orthopaedic Institute Surgery Center in southern Illinois. OISC is one of our newer managed centers and a terrific example of physician influence in design and operation.

It is a truly beautiful, extremely efficient and safe operation.  We invest time on-site at our managed facilities to ensure they are clinically sound and have exceptional service levels. During my visit, I spent time with management and staff during the day. In the evening, I presented the financial report and discussed strategy with the Board of Directors.

If you want this level of attention from your management professionals, then SMP is here to serve. Contact us today for more information.


The U.S. Senate Agrees On Something!

The U.S. Senate Agrees On Something!

Yes, it’s true. After years of strictly partisan politics in the U.S. Senate, there is finally a bipartisan bill focused on the opioid crisis in America. President Trump is expected to sign it soon.

The bill – which passed 98-1 on Oct. 3 — would accelerate research into non-addictive painkillers, ease restrictions on which health care professionals can prescribe medication-assisted treatment and increase support for state prescription drug monitoring programs to prevent abuse.

I am proud that the Ambulatory Surgery Center Association and the entire surgery center industry see the opioid crisis as a major issue and have taken the lead in prevention and innovation to control pain with alternative medication routines.


Do You Know What the 2-2-2 Rule Is?

Do You Know What the 2-2-2 Rule Is?

Medicare inspectors have been instructed to determine if the facility they are surveying is actually a hospital or not. The criteria they use is the “2-2-2 Rule.” It is a test to determine that there are at least two patients in-house at the time of the survey, and that the hospital has an average daily census of two patients with an average length of stay of two days.

Interestingly enough, we are trying to move patients out of the hospital by doing more outpatient cases and discharging patients earlier to home. Some surgical hospitals have trouble meeting the two patients in-house on Sunday and Monday, as the inpatient procedures done on Friday often go home in one or two days.

Be sure to ask an SMP Professional more about the 2-2-2 Rule and how ensure you’re in compliance.


SMP Leadership keeps current by attending PHA Summit

SMP Leadership keeps current by attending PHA Summit

From the desk of Mike Lipomi…

PHA is the Physician Hospital Association which represents the 200 plus hospitals owned in part by physicians across the Country.  It is critical that as a leader of a company that works with surgery centers, acute care hospitals and physician owned hospitals I know the issues facing each and the interaction between the players.  At SMP we work with many different combinations of acute care facilities partnered with doctors in health care facilities including surgery centers, hospitals, clinics and ancillary service centers.  I am proud to say that while there is competition between each of these organization models, the emphasis is on patient care and improvements in the health care delivery system in the United States.

As a Board member of PHA, past Board member and current Legislative Committee member of ASCA I find that the more information I have on each organization and their mission I am better able to work on the different relationships we have at facilities managed by SMP.  I know this perspective is valuable to our clients and invite you to follow SMP on Facebook where I will continue to update you and inform you on industry happenings, regulatory changes and best practices.

Mike Lipomi


ASCs could start providing 131 more device-intensive procedures

ASCs could start providing 131 more device-intensive procedures

Written by Laura Dyrda, Becker’s ASC Review

CMS proposed several updates to ASC payments in the 2019 proposed payment rule, issued July 25. One of the key changes for ASCs would be to broaden the definition of device-intensive procedures, adding around 131 procedures for Medicare beneficiaries in the ASC setting.

Here are five things to know:

  1. CMS proposed updating the definition of device-intensive procedures from procedures where the device is 40 percent of the overall cost to 30 percent of the overall cost for the procedure in the hospital outpatient department.
  2. The lowered threshold is expected to make it economically possible for ASCs to be able to provide 131 device-intensive procedures to Medicare beneficiaries for the first time. “[This is] a policy change we have been advocating for over the past several years to encourage migration of these procedures into ASCs,” said ASCA CEO William Prentice in a Q&A posted on the organization’s website.
  3. The new definition of device-intensive would increase the number of device-intensive procedures that ASCs can afford to provide to Medicare beneficiaries from 154 to 285 procedures for 2019, if it appears in the final rule.
  4. Among the newly approved cases would be several cardiac procedures. The proposed payment rule would also revise the definition of “surgery” for ASC payments to include “surgery-like” procedures, which would add 12 cardiac catheterization procedures to the ASC list as well.
  5. For device-intensive procedures, the total cost of the device is included in the reimbursement rate for ASCs

 



Client Feedback

Traci Albers

Surgical Management Professionals is truly a unique management company. They not only provide the experience and leadership for your organization, but they also value their relationship with the centers they manage. We are able to receive immediate results and attention to our issues. SMP’s priority is what is in the best interest of the surgery center. SMP provides the full range of services from financial management to continuous quality management to infection control support and everything in between. They have the expertise in multiple areas to support us on a day-to-day basis. The executives that lead SMP are individuals that have actually worked in an ambulatory surgery center or specialty hospital setting; therefore, they understand the issues we face and can provide real-world solutions. In a day when reimbursement is getting tighter and cash flow is becoming more of a challenge, I can continue to rely on SMP’s business office to negotiate the best payer contracts, code claims with accuracy, and collect payments exceeding industry A/R standards. The staff that provide this service to our center are second-to-none.

  • Annual Board Retreat & Educational Conference in Aruba

    SMP’s annual Board Retreat and Educational Conference took place last week in Aruba! It was a great learning and sharing experience for all attendees. Speakers provided their expert comments and advised on a wide range of health care and financial operational issues. Of course there was a lot of discussion about the best practices and the future of […]

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