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...

    Bill Could Force Facilities to Video Surgeries
    Hospital to Pay $4.25 Million After Botched and Unnecessary Bariatric Surgery
    Could Coaching Improve Surgical Technique?
    Report: Olympus May Have Known About Duodenoscope Problem, Failed to Tell U.S. Providers
    Drug Mixup Leads to Tragic Consequences
    N.C. Anesthesiologist's Behavior Wasn't Harassment
    Hep C Outbreak Doc Faces Additional Jail Time

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

    DID YOU SEE THIS?
    Medical Equipment

    One Chair Gets You There

    Other Articles That May Interest You

    Hospital Blames EHR for Release of Ebola Patient

    His travel history wasn't part of 'physican's workflow.'

    CMS Clarifies Sterilization Guidelines for Ophthalmic ASCs

    The Surgeons' Lounge: Eye in the Sky

    Are Cameras in the OR a HIPAA Violation?