7 Procedures Removed From IPO List – Total Knee Arthroplasty Only Receives “Honorable Mention”

 Annually, using established criteria, the CMS reviews the “inpatient only” (IPO) list to determine which, if any, procedures are to be removed. In a previous newsletter, we mentioned how Total Knee Arthroplasty may be removed from the Medicare Inpatient Only list. The winners for CY 2017 are five spine procedures along with two laryngoplasty procedures. Total knee arthroplasty (TKA) procedures did not make the final cut.

Total Knee Arthroplasty

Illustration of a Total Knee Arthroplasty procedure

The CY 2017 OPPS/ASC final rule discussed comments it received regarding the removal of (TKA) from the IPO list. Despite the overwhelming support for its removal, the CMS did not propose making an immediate change, but “will consider all of these comments in future policy making.”

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COPN – THE BIG PICTURE

Plus Virginia Reform Efforts

Certificate of Public Need (COPN) programs are a fact of life in 36 states (Virginia included) as well as the District of Columbia. These laws require government consent before a health care facility may expand, offer a new service or purchase certain medical devices.

The Case for Certificate of Need Laws

The initial intent of COPN programs was to contain health care facility costs through coordinated government/private enterprise planning of facility construction and added services. The assumption was to limit facilities to provide only enough capacity to meet actual need or demand in a given geographical area. Presumably, that would avoid price increases by health care accommodations that were struggling to meet overhead not funded by sufficient patient loads.

copn

Source: NCSL, August 2016

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Product Spotlight | Steris Century V116 Sterilizer

Steris Century V116 Steam Sterilizers are designed for fast, efficient sterilization of heat and water-resistant materials with the same capabilities as a gravity sterilizer. The V116 pre-vacuum sterilizer is equipped with pre-vac, gravity, flash, express, leak test, and daily air removal test cycles. 

Steris Century V116 SterilizerFeatures:

  • Florescent display for easy reading
  • Ink on paper impact printer
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Training Course – March 13th – 17th, 2017

**This training classes has ended. A training class is not being offered at this time**

training-course

Mark your calendar! This Spring, Auxo Medical will be offering a Steris Sterilizer and Washer/Disinfector service training course!

The course will be offered  March 13th – 17th, 2017 at Auxo Medical in Richmond, VA.

March 13th – 14th 2017  – Steris Century Series Sterilizers
March 15th – 16th 2017  – Steris 444 Washers
March 17th, 2017 – Review for the final half day.

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Auxo Service Spotlight: Animal Medical Center – NYC

Animal Medical Center

Front view of sterilizer installation at the Animal Medical Center.

Animal Medical Center

Side view of the sterilizer installation at the Animal Medical Center.

 

 

 

 

 

 

 

 

 

 

Over the weekend our team traveled to New York City to remove and reinstall a Steris Stage 3 3043 Sterilizer. The Animal Medical Center plans on using these sterilizers to sterilize the instruments used daily by their veterinary and emergency animal medical services personnel.

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The FDA’s Powdered Glove Ban – How Does it Affect You?

The ban is effective January 18, 2017

Powdered gloves are no longer FDA approved as of January 18th, 2017.Here’s a reminder of the recent ban of powdered gloves by the Federal Drug Administration (FDA). Compliance is mandatory in less than a week.

Bottom-Line

In its announcement last month, the FDA formally banned two types of powdered gloves and a glove lubricant. These medical devices can no longer be legally marketed or used effective January 18, 2017. That prohibition applies to devices already in commercial distribution and those sold to the end user.

Specifically, the ban applies to powdered patient examination gloves, powdered surgeon’s gloves and absorbable powder used to lubricate surgeon’s gloves. The glove types include all of these gloves, regardless of the material from which they are made – including NRL and synthetic latex gloves.

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Employee Spotlight – Kevin Condrey

Employee SpotlightHappy Anniversary, Kevin Condrey … and congratulations on your first full year with  Auxo Medical as a BioMed Service Technician!  

Initially, Kevin’s introduction and service to Auxo was as a contractor prior to joining the Auxo team full-time.

A day in the life of Kevin at Auxo Medical includes testing biomedical equipment to isolate problems and initiate appropriate solutions. That ensures Auxo customers will enjoy quality refurbished equipment as a comparable alternative to new equipment … and at a fraction of the cost.

Used vs. Refurbished Equipment: What’s the Difference?

Used vs. Refurbished

Refurbished Equipment

Used vs Refurbished equipment: What’s the Difference?

Used, by definition, is pre-owned and subjected to prior use. A synonym is “worn” which means anything from slightly employed to significantly deteriorated. Typically, used medical equipment is sold as-is with no recourse to the seller as to usability or functional life. That means if the equipment malfunctions or fails, you are responsible for the cost of repair or replacement. Additionally, training healthcare professionals on the use of the equipment is the new owner’s responsibility.

So your experience may mirror the good or not so good outcome of buying a vehicle from Honest Charlie’s Used Car Emporium. Caveat emptor is the cautionary note.

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The Case for Out-patient Total Knee Arthroplasty

And Compelling Reasons Why 

total knee arthroplasty

Total Knee Arthroplasty may be removed from the Medicare Inpatient Only list.

In 2000 the Centers for Medicare & Medicaid Services (CMS) added Total Knee Arthroplasty (TKA) to the Medicare Inpatient Only (IPO) list in 2000. More than a decade later, in 2013, the CMS proposed that the procedure be removed from the IPO list in anticipation that some Medicare beneficiaries would be well served in an outpatient environment. There was considerable adverse public reaction to this proposed move so it was not finalized at that time.

Now, three years later, the CMS is once again considering removal of TKA from the IPO list and soliciting public comments on that proposal. Driving this effort are two prime factors:

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