advertiser banner advertiser banner advertiser banner
Digital Issues

Home >  News >  December, 2010

CMS: History & Physical Can Be Performed on Day of Surgery

Regulator responds to confusion over H&P rule for ASCs.

Published: December 22, 2010

Ambulatory surgery centers may perform a history and physical on a patient the same day that patient is scheduled for surgery, the Centers for Medicare and Medicaid Services has clarified in new guidance for state surveyors.

The existing H&P requirement for ASCs, as written, had been causing confusion among state surveyors, who reportedly didn't know whether the requirement that H&Ps be performed "not more than 30 days before the date of the scheduled surgery" allowed the assessments to be conducted on the actual day of surgery. The ASC Association says it brought this concern to the attention of CMS, which responded by issuing a letter to state survey agencies late last week clarifying the requirement. The letter clarifies 3 major points:

  • "The comprehensive H&P may be performed on the same day as the surgical procedure, and may be performed in the ASC." However, the H&P must be performed before the patient is prepped and brought into the OR.

  • "If the H&P is performed on the day of the surgical procedure in the ASC, the H&P assessment may be combined with some, but not all, of the elements of the pre-surgical assessments." Specifically, it cannot be combined with the anesthesia/procedure risk assessment, which must be performed after the H&P by a physician.

  • "A comprehensive medical H&P assessment is required regardless of the type of surgical procedure."

    The guidelines outlined in the letter are effective immediately. Read the full letter here.

    Irene Tsikitas

    More breaking news


  • Also in the News...

    Priest, Doc Say Brooklyn ASC Robbed Them Blind
    Man Wins $1.8 Million After Surgeon Removes His Only Remaining Testicle
    New Group Hopes to Rid ORs of Surgical Smoke
    Tech Claims Hospital Discriminated Against Her After She Started Wearing Hearing Aids
    Court Says No to Office-Based Surgery Site's Demand for Facility Fees
    Court Backs Hospital's Firing of Employee Who Refused to Work With Difficult Doc
    CRE Superbug Sickens 7, Kills 2 in Los Angeles Hospital

     
    Have an account? Please log in:
    Email Address:
      Remember my login on this computer

    DID YOU SEE THIS?
    Video and Imaging Equipment

    This C-arm is Built for Vascular Surgery

    advertiser banner

    Other Articles That May Interest You

    CMS Clarifies Sterilization Guidelines for Ophthalmic ASCs

    Close Medicare's Colonoscopy Loophole

    ASCA urges facilities to contact lawmakers, support co-pay fix.

    FDA Recommends Black Box Warning for Power Morcellators

    Agency says morcellation may spread unsuspected cancer.