ASC Podcast with John Goehle

Episode 266 - Latest News, Nurses Strike in NYC, Look back on 2025 and focus on beginning of year activities - January 13, 2026

In this episode of the ASC Podcast with John Goehle we discuss the latest news in the industry, including the nurses strike in New York City, look back on major ASC events in 2025 and in our focus segment, discuss the activities that need to be done as you begin the year, especially focusing on governing body activities.   This episode is sponsored by Surgical Information Systems [http://sisfirst.com], RFX Solutions [http://rfxsolutions.com], Medserve [http://medserverx.com] and  Ambulatory Healthcare Strategies [http://www.ah-strategies.com].   Notes and Resources from this Episode: * Prepare for the CAIP Exam with our 2 day On-Demand Virtual Conference: * * Infection Control 101 – Training for Infection Control Coordinators in ASCs (September 2024 Recording) [https://conferences.asc-central.com/asc-infection-control-coordinator-training-101/] * Infection Control 201 – Advanced Training for Infection Control Coordinators (September 2024 Recording) [https://conferences.asc-central.com/asc-infection-control-coordinator-training-201/] INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com [http://ascpodcast.com] provides a link to all of our bootcamps, educational programs and membership programs! https://conferences.asc-central.com/ [https://conferences.asc-central.com/] Join one of our Membership Programs! * * Our Patron Program: * Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.  * More information and Become Member [https://ascpodcast.com/membership-information/] * The ASC-Central Premium Access Program * * A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions * More Information and Become a Premium Access Program Members Today! [https://asc-central.com/landing/plans/279136] Important Resources for ASCs: * Conditions for Coverage: * https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 [https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150] * Infection Control Survey Tool (Used by Surveyors for Infection Control) * https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf [https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf] * Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) * https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf [https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf] * https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som [https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som] * Policy & Memos to States and Regions * CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. * https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions [https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions] Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website [http://www.ascpodcast.com] Books by John Goehle * Get a copy of John’s most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers  [http://www.lulu.com/shop/john-goehle/the-survey-guide-for-ascs-a-guide-to-the-cms-conditions-for-coverage-interpretive-guidelines-for-ambulatory-surgery-centers-2020-edition/paperback/product-24442275.html]

Episode 265 - Accreditation Update, Advantages of Accreditation, Interview with Tom Terranova with QuadA - December 22, 2025

In this episode of the ASC Podcast with John Goehle we discuss the current state of ASC Accreditation and the value of Accreditation and in our focus segment, Interview Tom Terranova with QuadA.   This episode is sponsored by Surgical Information Systems [http://sisfirst.com], RFX Solutions [http://rfxsolutions.com], Medserve [http://medserverx.com] and  Ambulatory Healthcare Strategies [http://www.ah-strategies.com].   Notes and Resources from this Episode: * QuadA Website: * * https://www.quada.org/ [https://www.quada.org/] INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com [http://ascpodcast.com] provides a link to all of our bootcamps, educational programs and membership programs! https://conferences.asc-central.com/ [https://conferences.asc-central.com/] Join one of our Membership Programs! * * Our Patron Program: * Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.  * More information and Become Member [https://ascpodcast.com/membership-information/] * The ASC-Central Premium Access Program * * A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions * More Information and Become a Premium Access Program Members Today! [https://asc-central.com/landing/plans/279136] Important Resources for ASCs: * Conditions for Coverage: * https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 [https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150] * Infection Control Survey Tool (Used by Surveyors for Infection Control) * https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf [https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf] * Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) * https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf [https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf] * https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som [https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som] * Policy & Memos to States and Regions * CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. * https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions [https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions] Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website [http://www.ascpodcast.com] Books by John Goehle * Get a copy of John’s most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers  [http://www.lulu.com/shop/john-goehle/the-survey-guide-for-ascs-a-guide-to-the-cms-conditions-for-coverage-interpretive-guidelines-for-ambulatory-surgery-centers-2020-edition/paperback/product-24442275.html]

Episode 264 - Latest News, avoiding sanitary environment citations and in our focus segment we discuss ASC Billing and Coding with Bob Lathrop from SIS - December 16, 2025.

In this episode of the ASC Podcast with John Goehle we discuss the latest news, review common infection control and sanitary environment issues in ASCs and in our focus segment, discuss Navigating the Complexities of ASC Billing and Coding with Bob Lathrop from SIS.   This episode is sponsored by Surgical Information Systems [http://sisfirst.com],    Notes and Resources from this Episode: * Cost pressures that battered ASCs in 2025: * * * https://www.beckersasc.com/asc-transactions-and-valuation-issues/the-cost-pressures-that-battered-ascs-in-2025/?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=5567B4088734C3Z [https://www.beckersasc.com/asc-transactions-and-valuation-issues/the-cost-pressures-that-battered-ascs-in-2025/?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=5567B4088734C3Z] * Focus on Sanitary Environment and Infection Prevention & Control (IPC) in ASC Surveys * * * Sanitary environment and IPC issues consistently rank among the top deficiencies in ambulatory surgery center (ASC) accreditation and certification surveys, making this a critical "hot issue" for 2025 and beyond. These citations directly impact patient safety by increasing risks of healthcare-associated infections (HAIs), and they appear frequently across major accreditors like CMS, AAAHC, and ACHC. For context: * In AAAHC's 2025 Quality Roadmap (released September 2025), IPC remains a persistent top challenge, with deficiencies cited in nearly 90% of surveys for ASCs and office-based surgery settings. * ACHC's November 2025 survey data highlights sanitary environment lapses (e.g., sanitation issues, incomplete policies) as a leading deficiency, often tied to inconsistent implementation of hand hygiene, glove techniques, and environmental cleaning. * Historical CMS data shows patterns holding into recent years, with "Sanitary Environment" and "Infection Control Program" among the most cited, stemming from failures in basic practices like cleaning, sterilization, and safe injection protocols. * These issues often arise from documentation gaps, staff inconsistencies, or overlooked details during busy operations, even in high-performing centers. * * Key Regulatory Requirements * * * The foundation for sanitary environment and IPC in ASCs is CMS Conditions for Coverage (CfC) at 42 CFR § 416.51, which applies to Medicare-certified ASCs and influences other accreditors (deemed status via AAAHC, ACHC, etc.). * Standard: Sanitary Environment (§ 416.51(a)): The ASC must provide a functional and sanitary environment for surgical services, avoiding sources and transmission of infections by adhering to professionally accepted standards (e.g., CDC, AORN, APIC guidelines). * Standard: Infection Control Program (§ 416.51(b)): Maintain an ongoing, coordinated program to prevent, control, and investigate infections/communicable diseases. This includes: * Designation of a qualified professional (e.g., infection preventionist) to oversee the program. * Annual risk assessment to identify infection risks. * Integration of nationally recognized guidelines (CDC core practices are mandatory if no other evidence-based standards apply). * Policies for hand hygiene, environmental cleaning, sterilization/high-level disinfection (HLD), safe injection practices, and point-of-care devices. INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com [http://ascpodcast.com] provides a link to all of our bootcamps, educational programs and membership programs! https://conferences.asc-central.com/ [https://conferences.asc-central.com/] Join one of our Membership Programs! * * Our Patron Program: * Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.  * More information and Become Member [https://ascpodcast.com/membership-information/] * The ASC-Central Premium Access Program * * A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions * More Information and Become a Premium Access Program Members Today! [https://asc-central.com/landing/plans/279136] Important Resources for ASCs: * Conditions for Coverage: * https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 [https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150] * Infection Control Survey Tool (Used by Surveyors for Infection Control) * https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf [https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf] * Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) * https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf [https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf] * https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som [https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som] * Policy & Memos to States and Regions * CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. * https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions [https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions] Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website [http://www.ascpodcast.com] Books by John Goehle * Get a copy of John’s most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers  [http://www.lulu.com/shop/john-goehle/the-survey-guide-for-ascs-a-guide-to-the-cms-conditions-for-coverage-interpretive-guidelines-for-ambulatory-surgery-centers-2020-edition/paperback/product-24442275.html]

Episode 263 - Latest News, Delay in Pre-Auth Pilot, Anthem Policy, Final CMS ASC/HOPD 2026 Payment Rule - December 3, 2025

In this episode of the ASC Podcast with John Goehle we discuss the latest news, including the delay in the Pre-authorization pilot and Anthem’s new policy on out-of-network providers.   In our focus segment we discuss the final 2026 CMS ASC/HOPD Payment Rule    This episode is sponsored by Surgical Information Systems [http://sisfirst.com], RFX Solutions [http://rfxsolutions.com], Medserve [http://medserverx.com] and  Ambulatory Healthcare Strategies [http://www.ah-strategies.com].  Notes and Resources from this Episode: * Final Rule: * * * https://public-inspection.federalregister.gov/2025-20907.pdf [https://public-inspection.federalregister.gov/2025-20907.pdf] * Press Release about Final Rule: * https://www.cms.gov/newsroom/press-releases/cms-empowers-patients-boosts-transparency-modernizing-hospital-payments [https://www.cms.gov/newsroom/press-releases/cms-empowers-patients-boosts-transparency-modernizing-hospital-payments] * Fact Sheet about Final Rule: * * https://www.cms.gov/newsroom/fact-sheets/calendar-year-2026-hospital-outpatient-prospective-payment-system-opps-ambulatory-surgical-center [https://www.cms.gov/newsroom/fact-sheets/calendar-year-2026-hospital-outpatient-prospective-payment-system-opps-ambulatory-surgical-center] * Downloads for the Final Rule: * * https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient/regulations-notices/cms-1834-fc [https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient/regulations-notices/cms-1834-fc] * ASC Quality Reporting web site: * * https://www.qualityreportingcenter.com/en/ascqr-program/ [https://www.qualityreportingcenter.com/en/ascqr-program/] * ASC Association Web Site (Join to get more information): * * http://ascassociation.org [http://ascassociation.org] INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com [http://ascpodcast.com] provides a link to all of our bootcamps, educational programs and membership programs! https://conferences.asc-central.com/ [https://conferences.asc-central.com/] Join one of our Membership Programs! * * Our Patron Program: * Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.  * More information and Become Member [https://ascpodcast.com/membership-information/] * The ASC-Central Premium Access Program * * A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions * More Information and Become a Premium Access Program Members Today! [https://asc-central.com/landing/plans/279136] Important Resources for ASCs: * Conditions for Coverage: * https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 [https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150] * Infection Control Survey Tool (Used by Surveyors for Infection Control) * https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf [https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf] * Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) * https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf [https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf] * https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som [https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som] * Policy & Memos to States and Regions * CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. * https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions [https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions] Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website [http://www.ascpodcast.com] Books by John Goehle * Get a copy of John’s most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers  [http://www.lulu.com/shop/john-goehle/the-survey-guide-for-ascs-a-guide-to-the-cms-conditions-for-coverage-interpretive-guidelines-for-ambulatory-surgery-centers-2020-edition/paperback/product-24442275.html]

Episode 262 - Latest News, Information, 2025 Multi-State Virtual ASC Conference, and Interview with Katie Pierson about Survey Preparation - November 19, 2025

In this Episode of the ASC Podcast with John Goehle we discuss the latest news about the ASC Industry, prepare for the 2025 Multi-State Virtual ASC Conference on Thursday and Friday November 20-21, 2025 and in our focus segment discuss survey preparation and mock surveys with Katie Pierson with Ambulatory Healthcare Strategies.    This episode is sponsored by Surgical Information Systems [http://sisfirst.com], RFX Solutions [http://rfxsolutions.com], Medserve [http://medserverx.com] and  Ambulatory Healthcare Strategies [http://www.ah-strategies.com].   Notes and Resources from this Episode: * ASC News Article by Shelby Grebbin About the importance of patient selection * https://ascnews.com/2025/08/as-the-surgical-shift-accelerates-ascs-must-sharpen-their-patient-selection-strategies/?spMailingID=166677&puid=3910766&E=3910766&utm_source=newsletter&utm_medium=email&utm_campaign=166677 [https://ascnews.com/2025/08/as-the-surgical-shift-accelerates-ascs-must-sharpen-their-patient-selection-strategies/?spMailingID=166677&puid=3910766&E=3910766&utm_source=newsletter&utm_medium=email&utm_campaign=166677] * AAAHC Quality Roadmap Press Release * https://www.aaahc.org/uploads/2025/09/AAAHC_2025-Quality-Roadmap-Press-Release_FINAL.pdf [https://www.aaahc.org/uploads/2025/09/AAAHC_2025-Quality-Roadmap-Press-Release_FINAL.pdf] * ACHC Top Citations * https://achc.org/top-asc-deficiencies-highlight-opportunities-for-improvement/ [https://achc.org/top-asc-deficiencies-highlight-opportunities-for-improvement/] * AORN Article about reducing first case start time delays: * https://www.aorn.org/article/reducing-first-case-start-time-delays   INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com [http://ascpodcast.com] provides a link to all of our bootcamps, educational programs and membership programs! https://conferences.asc-central.com/ [https://conferences.asc-central.com/] Join one of our Membership Programs! * * Our Patron Program: * Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.  * More information and Become Member [https://ascpodcast.com/membership-information/] * The ASC-Central Premium Access Program * * A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions * More Information and Become a Premium Access Program Members Today! [https://asc-central.com/landing/plans/279136] Important Resources for ASCs: * Conditions for Coverage: * https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 [https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150] * Infection Control Survey Tool (Used by Surveyors for Infection Control) * https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf [https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf] * Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) * https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf [https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf] * https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som [https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som] * Policy & Memos to States and Regions * CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. * https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions [https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions] Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website [http://www.ascpodcast.com] Books by John Goehle * Get a copy of John’s most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers  [http://www.lulu.com/shop/john-goehle/the-survey-guide-for-ascs-a-guide-to-the-cms-conditions-for-coverage-interpretive-guidelines-for-ambulatory-surgery-centers-2020-edition/paperback/product-24442275.html]