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...

    Outpatient Surgery Announces the 2014 OR Excellence Award Winners
    Live Streaming Vitals on Google Glass
    Meridian Surgical Partners Settles "to Avoid Costs and Distractions"
    Source: Spontaneous Biopsy Caused Joan Rivers to Stop Breathing
    What Caused Joan Rivers to Stop Breathing During an Endoscopy?
    Surgeon Admitted Fatal Mistake, But Hospital Fights Negligence Charge
    Bottom-Slapping Surgeon Hits the Bottom Line

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

    DID YOU SEE THIS?
    Infection Control

    Take the Work Out Of Preop Skin Prep

    advertiser banner

    Other Articles That May Interest You

    Supreme Court Upholds FTC Challenge to Hospital Merger

    Do Hospital Readmissions Tell the Whole Story?

    Close Medicare's Colonoscopy Loophole

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