ASC Podcast with John Goehle

Hosted by John Goehle

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100

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Oct 2026

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About the show

A podcast for Freestanding Ambulatory Surgery Centers with Industry Leader John J. Goehle, MBA, CASC, CPA. Mr. Goehle is the author of 10 books about the ASC industry and a frequent speaker at industry meetings.

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October 14, 2026Episode 3061 hr 0 min

Episode 290 - Whistleblower Verdict, a $6B ASC Buying Spree, Nonprofit ASC Profitability, and an Interview with ASCA's Kara Newbury on the National Picture and 2027 Payment Rule - October 13, 2026

In this episode of the ASC Podcast with John Goehle, we cover a whistleblower verdict against an Optum-affiliated ASC, the $6 billion wave of ASC M&A activity, new scrutiny of nonprofit ASC profitability, the health systems racing into the ASC space, and what Joint Commission surveyors say ASCs should expect. Then John sits down with Kara Newbury, ASCA's Chief Advocacy Officer, recorded at the CASA Annual Conference in Monterey, California, for a conversation on where the ASC industry stands in Washington heading into 2027. This episode is sponsored by Surgical Information Systems , RFX Solutions , Medserve and Ambulatory Healthcare Strategies . Notes and Resources from this Episode: Anesthesiologist wins $1.6M whistleblower verdict against Optum-affiliated ASC — Becker's ASC (September 23, 2026): beckersasc.com The $6B ASC buying spree — Becker's ASC (September 22, 2026): beckersasc.com Ambulatory Surgery Centers Show ‘Remarkably High Profitability’ — Ambulatory Surgery Center News (September 28, 2026), citing Plummer, Doyle and Bai, JAMA Health Forum: ascnews.com 8 health systems edging ahead in the ASC race — Becker's ASC (August 25, 2026): beckersasc.com Joint Commission Surveyors Offer ‘Sneak Peek’ of What ASCs Can Expect — Ambulatory Surgery Center News (October 8, 2026): ascnews.com ANNOUNCEMENT — Live Conference Week recordings (Infection Control 101, QAPI, Article 28 Mastery) are now available for individual purchase; IC Coordinator 201 is coming shortly — Premium Access members get all four free: asc-central.com 2026 Multi-State Virtual ASC Conference — December 3–4, 2026, free to members of participating state associations: asc-central.com/2026-multi-state-conference The Survey Guide — John Goehle's book on the CMS Conditions for Coverage & Interpretive Guidelines for ASCs: lulu.com The new ASC Central website: asc-central.com INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired). Patron Member Program — $25/month for an individual listener who wants a richer podcast experience and wants to support the show: the resource library, weekly drop-in Zoom sessions, six recorded conferences, the member forum, the podcast library, and the electronic Survey Guide for ASCs, 2026 Edition with Appendices A–N. Become a Patron Member Premium Access Program — $3,995/year for the entire surgery center: education, compliance resources and staff training for ASC leaders and owners who need more support without engaging a full management or outsourced-services company. It includes the three leadership bootcamps, ASC Leadership Mastery, Infection Control 101 & 201, Annual Mandatory Education, compliance tools and self-assessments, the conference library, applicable certificates, and up to five hours of private consulting a year. Sign up for Premium Access Membership program details: https://asc-central.com/memberships/ | Live Conference Week recordings: https://asc-central.com/educational-programs/ 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 Infection Control Survey Tool (Used by Surveyors for Infection Control) 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/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 Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website 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

September 27, 2026Episode 3051 hr 51 min

Episode 289 – Special Episode: Live from the California Ambulatory Surgery Association Annual Conference, September 1–4, 2026, in Monterey, California - September 5, 2026

In this special episode of the ASC Podcast with John Goehle, recorded at the California Ambulatory Surgery Association's Annual Conference, held September 1st through 4th at the Monterey Conference Center in Monterey, California, John talks to some of the speakers, and the board president. Then he walks through four sessions from the meeting — electronic distraction in the OR, emergency management and life safety, accreditation readiness, and a panel of the accrediting organizations on what they want you to know. This episode is sponsored by Surgical Information Systems , RFX Solutions , Medserve and Ambulatory Healthcare Strategies . Notes and Resources from this Episode: California Ambulatory Surgery Association (CASA) Website: casurgery.org Annual Conference 2026 — September 1–4, 2026, Monterey Conference Center, Monterey, California Speakers Interviewed from the Conference: Michelle George — general session: “Fueling Excellence: Elevate. Execute. Excel” Carrie Millsap — President, California Ambulatory Surgery Association; Chief Executive Officer, Monterey Peninsula Surgery Centers Kara Newbury, JD — Chief Advocacy Officer, Ambulatory Surgery Center Association (session: “CA and National Legislative Update”) David Shapiro, MD — anesthesiologist, ASC surveyor and longtime industry leader (also presented “Position Your ASC for Accreditation Success”) 2026 Multi-State Conference — presented with the state ASC associations: asc-central.com/2026-multi-state-conference Sessions Recapped in This Episode: Peter Papadakos, MD — “Optimizing Team Performance: Managing Digital Distractions in the OR” Richard Parker — “Emergency Management, Physical Environment, and Life Safety in ASCs” David Shapiro, MD — “Position Your ASC for Accreditation Success” “Checkered Flag Finish: What the Experts Want You to Know” — panel of accrediting organization representatives (AAAHC, The Joint Commission, QUAD A, DNV and ACHC), moderated by Janet Miller ASC Quality Collaboration — nine free ASC Toolkits (endoscope reprocessing, environmental infection prevention, hand hygiene, point-of-care devices, patient falls, safe injection practices, single-use device reprocessing, sterilization and high-level disinfection, and wrong-site prevention): ascquality.org/toolkits CASA upcoming events: Infection Prevention Conference — November 2026, virtual [VALIDATE dates]; CASA Annual Conference 2027 — Huntington Beach, California [VALIDATE dates] ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs Tuesday, September 22 - Infection Control Oversight 101 (IC101): asc-central.com/ic101-2026 Wednesday, September 23 - Infection Control Coordinator Training (IC 201): asc-central.com/ic201-2026 Thursday, September 24 - Quality Improvement & Peer Review (QAPI): asc-central.com/qapi-2026 Friday, September 25 - Article 28 Mastery, New York D&TC and ASC: asc-central.com/article-28-2026 INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired). Patron Membership — $25/month, individual: the full resource library (policies, forms, drill kits, templates), weekly drop-in Zoom sessions, all six recorded conferences, the member forum, the complete podcast library, and The Survey Guide for ASCs, 2026 Edition with Appendices A–N. Become a Patron Member Premium Access — $3,995/year, covering your entire surgery center (not per person): everything in Patron, plus the Administrator, Director of Nursing and Business Office Manager Bootcamps, the ASC Leadership Mastery Course, Infection Control 101 & 201 (CAIP preparation), Annual Mandatory Education, compliance tools and self-assessments, certificates with AEUs and IPCH credits, every new conference we release, and up to five hours of private consulting a year. Sign up for Premium Access Compare both programs: asc-central.com/memberships 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 Infection Control Survey Tool (Used by Surveyors for Infection Control) 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/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 Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website 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

September 9, 2026Episode 3041 hr 9 min

Episode 288 - Oregon Moves on Workplace Violence, AAAHC's Free AI Governance Guide, Two Insurers Steering Cases to ASCs, and an Interview with Amrit Kirpalani on AI - September 5, 2026

In this episode of the ASC Podcast with John Goehle, Oregon moves toward a workplace violence rule that names ambulatory surgery centers, AAAHC follows its v45 Standards with a free AI governance guide, and two Insurance plans start steering elective cases out of the hospital and into ASCs — with a health system suing over it. Then John sits down with Amrit Kirpalani, CEO of NovaNav, recorded at the Texas ASC Society meeting, for a practical conversation about where a surgery center should actually start with artificial intelligence, and the questions to ask a vendor before you sign anything. This episode is sponsored by Surgical Information Systems , RFX Solutions , Medserve and Ambulatory Healthcare Strategies . Notes and Resources from this Episode: Oregon OSHA proposes a workplace violence prevention rule covering ambulatory surgery centers - hearings August 11 and 13, comments closed August 31; adoption expected October 2026, effective January 2027 (July 21, 2026): osha.oregon.gov AAAHC releases the 1095 Advance AI Governance Guide - a complimentary implementation resource for ambulatory care organizations (August 17, 2026): aaahc.org AAAHC v45 Standards - AI governance framework built on leadership accountability, risk assessment, cybersecurity, human oversight and transparency; effective for surveys conducted on or after December 15, 2026 (August 18, 2026): aaahc.org v45 handbooks (free digital versions for 1095 Engage users): store.aaahc.org/handbooks Two Insurers Started Steering Patients to ASCs. Here's What Happened Next - Highmark and Independence Blue Cross site-of-care policies; Jefferson Health's $35.4M suit - Ambulatory Surgery Center News (August 28, 2026): ascnews.com ANNOUNCEMENT - 2026 Multi-State Virtual ASC Conference, December 3-4, 2026, online, presented with the state ASC associations - free to members of participating state associations; state-association participation closes September 30: asc-central.com/2026-multi-state-conference ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs Tuesday, September 22 - Infection Control Oversight 101 (IC101): asc-central.com/ic101-2026 Wednesday, September 23 - Infection Control Coordinator Training (IC 201): asc-central.com/ic201-2026 Thursday, September 24 - Quality Improvement & Peer Review (QAPI): asc-central.com/qapi-2026 Friday, September 25 - Article 28 Mastery, New York D&TC and ASC: asc-central.com/article-28-2026 Leadership training - Administrator, Director of Nursing and Business Office Manager Bootcamps, plus the ASC Leadership Mastery Course: asc-central.com - Leadership Training Guest: Amrit Kirpalani, Chief Executive Officer of NovaNav - session “AI - Who, What, Is It Covered and What Comes Next,” recorded at the Texas Ambulatory Surgery Center Society Annual Conference, Lake Conroe, Texas. INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired). Patron Membership — $25/month, individual: the full resource library (policies, forms, drill kits, templates), weekly drop-in Zoom sessions, all six recorded conferences, the member forum, the complete podcast library, and The Survey Guide for ASCs, 2026 Edition with Appendices A–N. Become a Patron Member Premium Access — $3,995/year, covering your entire surgery center (not per person): everything in Patron, plus the Administrator, Director of Nursing and Business Office Manager Bootcamps, the ASC Leadership Mastery Course, Infection Control 101 & 201 (CAIP preparation), Annual Mandatory Education, compliance tools and self-assessments, certificates with AEUs and IPCH credits, every new conference we release, and up to five hours of private consulting a year. Sign up for Premium Access Compare both programs: asc-central.com/memberships 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 Infection Control Survey Tool (Used by Surveyors for Infection Control) 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/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 Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website 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

September 8, 2026Episode 3031 hr 37 min

Episode 287 – Special Episode: Live from the Texas Ambulatory Surgery Center Society Annual Conference in Lake Conroe, Texas - August 28, 2026

In this special episode of the ASC Podcast with John Goehle, recorded live at the Texas Ambulatory Surgery Center Society's Annual Conference at Margaritaville Lake Resort on Lake Conroe, John brings back four conversations from the meeting — with the association's president and a board member, the CEO of an AI company working in surgery centers, a compliance attorney, and the society's executive director — for a look at what Texas surgery centers are up against and why the state association is worth joining. This episode is sponsored by Surgical Information Systems , RFX Solutions , Medserve and Ambulatory Healthcare Strategies . Notes and Resources from this Episode: Texas Ambulatory Surgery Center Society (TASCS) Website: texasascsociety.org Annual Conference 2026 — August 26–28, 2026, Margaritaville Lake Resort, Lake Conroe, Montgomery, Texas Speakers Interviewed from the Conference: Adam Hornback, BSN, RN — President, Texas Ambulatory Surgery Center Society; Administrator, North Texas Team Care Surgery Center Kayla Schneeweiss-Keene, MBA, BSN, RN, CASC — Board Member, Texas Ambulatory Surgery Center Society; ASC Administrator, Mann Cataract Surgery Center Amrit Kirpalani — Chief Executive Officer, NovaNav (session: “AI — Who, What, Is It Covered and What Comes Next”) Richard Bays, JD — Attorney and Registered Nurse (general session: “Effective Compliance Program for Your ASC”) Krista DuRapau — Executive Director, Texas Ambulatory Surgery Center Society ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs Tuesday, September 22 - Infection Control Oversight 101 (IC101): asc-central.com/ic101-2026 Wednesday, September 23 - Infection Control Coordinator Training (IC 201): asc-central.com/ic201-2026 Thursday, September 24 - Quality Improvement & Peer Review (QAPI): asc-central.com/qapi-2026 Friday, September 25 - Article 28 Mastery, New York D&TC and ASC: asc-central.com/article-28-2026 INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired). Patron Membership — $25/month, individual: the full resource library (policies, forms, drill kits, templates), weekly drop-in Zoom sessions, all six recorded conferences, the member forum, the complete podcast library, and The Survey Guide for ASCs, 2026 Edition with Appendices A–N. Become a Patron Member Premium Access — $3,995/year, covering your entire surgery center (not per person): everything in Patron, plus the Administrator, Director of Nursing and Business Office Manager Bootcamps, the ASC Leadership Mastery Course, Infection Control 101 & 201 (CAIP preparation), Annual Mandatory Education, compliance tools and self-assessments, certificates with AEUs and IPCH credits, every new conference we release, and up to five hours of private consulting a year. Sign up for Premium Access Visit: asc-central.com/memberships to compare both programs

August 23, 2026Episode 3021 hr 12 min

Episode 286 - AAAHC v45 and the New AI Standards, Stark Law Reform, the Anesthesia Squeeze, a New ASC Central and Survey Guide, and an Interview with Amanda Penrod - August 19, 2026

In this episode of the ASC Podcast with John Goehle, AAAHC has released v45 of the Standards — with brand-new Artificial Intelligence requirements and a December 15th effective date — and it's a big week around here too: a new ASC Central website, the 2026 Survey Guide, and our September conference week. Then John talks with Amanda Penrod about leading across the generations — how to mentor, retain, and get the best from a team that can span four decades of experience. Grab a coffee and join John and Sue. This episode is sponsored by Surgical Information Systems , RFX Solutions , Medserve and Ambulatory Healthcare Strategies . Notes and Resources from this Episode: AAAHC Standards and Policy announcements (v45 FAQs and Policies & Procedures): aaahc.org - Standards and Policies AAAHC Achieving Accreditation - walk-through of the v45 Standards; September 14-16, 2026 (virtual) and December 10-11, 2026 (Las Vegas): aaahc.org - Achieving Accreditation FREE digital v45 handbooks for 1095 Engage users - Help Curtain (right-hand side of the screen), under “Released Handbook (Not Yet Effective)” for each program. Print editions available for preorder, delivery expected late September 2026: store.aaahc.org - v45 handbooks AAAHC has released v45 of the Standards - new Artificial Intelligence Standards in the Administration, Governance, and Credentialing & Privileging chapters (transparency, validation, data privacy and security, human oversight, bias mitigation). Effective for surveys conducted on or after December 15, 2026. Log in to 1095 Engage and select the Standards tab in your organization's Profile: 1095.aaahc.org Is Stark law reform finally on the table? - Becker's ASC (August 11, 2026): beckersasc.com 62% of ASCs cancel, delay cases over anesthesia gaps - Becker's ASC (August 14, 2026): beckersasc.com Half of NPs have been burned out for more than 2 years - Becker's ASC (August 12, 2026): beckersasc.com ANNOUNCEMENT - The new ASC Central website is live: asc-central.com What is changing for current members (the old Mighty Networks site stays open through March 31, 2027): asc-central.com - What's Changing Guide ANNOUNCEMENT - The Survey Guide for ASCs, 2026 Edition - fully revised and expanded: jgoehle.com The 2026 Survey Guide on Amazon: amazon.com - The Survey Guide for ASCs (2026 Edition) ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs Tuesday, September 22 - Infection Control Oversight 101 (IC101): asc-central.com/ic101-2026 Wednesday, September 23 - Infection Control Coordinator Training (IC 201): asc-central.com/ic201-2026 Thursday, September 24 - Quality Improvement & Peer Review (QAPI): asc-central.com/qapi-2026 Friday, September 25 - Article 28 Mastery, New York D&TC and ASC: asc-central.com/article-28-2026 Leadership training - Administrator, Director of Nursing and Business Office Manager Bootcamps, plus the ASC Leadership Mastery Course: asc-central.com - Leadership Training ASC Leadership Mastery Course - 28-part video course (regulatory, clinical, staffing, financial); structured preparation for the concepts tested on the CASC exam; included with Premium Access or available separately: asc-central.com - Leadership Mastery Course Guest: Amanda Penrod, CEO and founder of RFX Solutions - “Leading Across the Generations.” INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired). Patron Membership — $25/month, individual: the full resource library (policies, forms, drill kits, templates), weekly drop-in Zoom sessions, all six recorded conferences, the member forum, the complete podcast library, and The Survey Guide for ASCs, 2026 Edition with Appendices A–N. Premium Access — $3,995/year, covering your entire surgery center (not per person): everything in Patron, plus the Administrator, Director of Nursing and Business Office Manager Bootcamps, the ASC Leadership Mastery Course, Infection Control 101 & 201 (CAIP preparation), Annual Mandatory Education, compliance tools and self-assessments, certificates with AEUs and IPCH credits, every new conference we release, and up to five hours of private consulting a year. Compare both programs: asc-central.com/memberships 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 Infection Control Survey Tool (Used by Surveyors for Infection Control) 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/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 Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website

July 25, 2026Episode 3011 hr 8 min

Episode 285 - CMS's Provider-Enrollment Crackdown, Anesthesia Stipends, a BLS Readiness Gap, a Locked Pre-Op Door, Traveling Biomed Checks, and an Interview with Pharmacy Consultants - July 18, 2026

In this episode of the ASC Podcast with John Goehle, we run through the ASC news that matters — a sweeping CMS enrollment proposal, the anesthesia squeeze, and more — plus a few things we've been seeing out in the field. Then John sits down with two veteran pharmacy consultants for a practical look at medication safety in the surgery center, from patient screening to drug diversion to malignant-hyperthermia readiness. This episode is sponsored by Surgical Information Systems , RFX Solutions , Medserve and Ambulatory Healthcare Strategies . Notes and Resources from this Episode: CMS seeks new powers to deny or revoke enrollment for “problematic” Medicare providers — Becker’s Hospital Review: beckershospitalreview.com CY2027 Home Health PPS proposed rule (CMS-1844-P) — Medicare enrollment provisions (retroactive revocation, location & affiliation rules, 855B private-equity/REIT disclosure); comments due Aug 31, 2026 — CMS fact sheet: cms.gov Elevance’s 10% out-of-network penalty — 3 payer moves disrupting ASCs, physicians — Becker’s ASC: beckersasc.com Why anesthesia stipends could be inevitable amid outdated ASC models — Becker’s ASC: beckersasc.com Feds: Iowa plastic surgeon defrauded Medicare through false billings — Iowa Capital Dispatch: iowacapitaldispatch.com CMS request for information on episode-based payment for ASCs (ASCA opposed) — ASC News: ascnews.com Companion episode: Episode 283 — Pharmacy Management and Recalls . INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access Compare both programs: conferences.asc-central.com/membership-programs-2 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 Infection Control Survey Tool (Used by Surveyors for Infection Control) 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/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 Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website 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

July 24, 2026Episode 3001 hr 15 min

Episode 284 – Special Episode: Live from the Colorado Ambulatory Surgery Center Association Conference in Golden, Colorado - July 16, 2026

In this special episode of the ASC Podcast with John Goehle, recorded live at the Colorado ASC Association's annual conference in Golden, John shares five conversations from the meeting — with association and board leaders, a cardiology-focused ASC, and a center administrator — for a look at what's driving Colorado's surgery centers and why the state conference is worth the trip. This episode is sponsored by Surgical Information Systems , RFX Solutions , Medserve and Ambulatory Healthcare Strategies . Notes and Resources from this Episode: Colorado Ambulatory Surgery Center Association (CASCA) Website: coloradoasc.org INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access Compare both programs: conferences.asc-central.com/membership-programs-2 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 Infection Control Survey Tool (Used by Surveyors for Infection Control) 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/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 Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website 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

July 16, 2026Episode 29952 min

Episode 283 - Extreme Heat Halts Surgery, Leapfrog to Rate 4,000 ASCs, Section 504 Deadline, and Focus on Pharmacy Management - July 11, 2026

On this episode of the ASC Podcast with John Goehle, we discuss the latest news and information, including extreme heat shutting down elective surgery at an Illinois surgery center, a federal court ruling against the Leapfrog Group and Leapfrog's plan to publicly rate nearly 4,000 ASCs later this month, recent drug recalls, and the new Section 504 accessibility requirements. In our focus segment, we discuss pharmacy management and recalls in the ASC. This episode is sponsored by Surgical Information Systems , RFX Solutions , MedServe and Ambulatory Healthcare Strategies . Notes and Resources from this Episode: Extreme heat forces an Illinois ASC to halt elective surgeries — Becker’s ASC: beckersasc.com Federal court orders the Leapfrog Group to pull hospital safety grades — Fierce Healthcare: fiercehealthcare.com Pharmacy recall & shortage resources: FDA Drug Recalls: fda.gov/drugs/drug-recalls Drug Shortages (FDA/ASHP via ASCA): ascassociation.org/drug-shortages | Conditions for Coverage §416.48 (eCFR): ecfr.gov §416.48 John's panel — “Winning the ASC Talent War,” ASC News Investments & Operations Conference (Grand Hyatt Denver, July 8–9, 2026); full agenda: ascninvestmentsandoperations.com/2026-agenda Leapfrog ASC Public Reporting Program — nearly 4,000 ASCs publicly rated beginning July 25, 2026 (CMS ASCQR measures, accreditation standards, and the voluntary ASC Survey 2.0): leapfroggroup.org — ASC Program Look up your own center on Leapfrog's Hospital and Surgery Center Ratings site: ratings.leapfroggroup.org INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access Compare both programs: conferences.asc-central.com/membership-programs-2 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 Infection Control Survey Tool (Used by Surveyors for Infection Control) 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/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 Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website 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

July 6, 2026Episode 29856 min

Episode 282 - Deep Dive into the Proposed 2027 CMS Payment Rule, Anesthesia Stipends, the NOPAIN Act, a $12M ASC Valuation Lawsuit - July 3, 2026ment Rule - July 3, 2026

In this episode of the ASC Podcast with John Goehle, we cover a money-focused news segment — the anesthesia stipend crisis by the numbers, a refresher on the NOPAIN Act and the separate Medicare payment it created for non-opioid pain management, and a $12 million ASC valuation lawsuit in Iowa. We also share a few things we've been seeing in the field. Then we go all-in on the big one: CMS's just-released proposed payment rule for 2027 — the proposed ASC update, the market-basket question, the Covered Procedures List, the device and NOPAIN provisions, quality-reporting changes, and the site-of-service savings — plus the summary and spreadsheet we built — and a video walkthrough coming to conferences.asc-central.com — to help you assess the impact on your center. This episode is sponsored by Surgical Information Systems , RFX Solutions , Medserve and Ambulatory Healthcare Strategies . Notes and Resources from this Episode: Anesthesia stipends by the numbers — Becker's ASC (June 12, 2026): beckersasc.com The NOPAIN Act and separate Medicare payment for non-opioid pain management — ASC News: ascnews.com NOPAIN Act — CMS, Non-Opioid Treatments for Pain Relief (payment details, 42 CFR 416.174): cms.gov Iowa health system and physician group sue over a $12M ASC valuation gap — Becker's ASC: beckersasc.com 2027 Proposed Rule — Resource Library: the CMS proposed rule (CMS-1850-P) and addenda, our comprehensive written summary of the rule, the impact spreadsheet, and the video walkthrough — all gathered in one place: https://www.dropbox.com/scl/fo/j37wvj8v9h15lmbyhjri3/ABzhpV77rpOrshAXqCBv0oY?rlkey=h83k0pf1fb90lzi44463go4w9&dl=0 Video Seminar - “What CMS's Proposed 2027 Payment Rule Means for Your ASC” available on demand for free https://conferences.asc-central.com/2027-payment-rule/ INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access Compare both programs: conferences.asc-central.com/membership-programs-2 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 Infection Control Survey Tool (Used by Surveyors for Infection Control) 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/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 Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website 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

July 1, 2026Episode 29745 min

Episode 281 - Surgery Partners Rejects Buyout, Recruitment Challenges, Chasing Volume, and an Interview with Terry Bohlke - June 30, 2026

In this episode of the ASC Podcast with John Goehle, we cover the latest ASC industry news — Surgery Partners rejecting a $3.2 billion buyout from Bain Capital to stay independent, new VMG Health data on surgeon recruitment and the shift in anesthesia staffing, and a leadership piece on why “chasing volume” can be a surge to the bottom. We also share recent experiences from the field on board certification versus medical-staff bylaws, what surveyors are focusing on right now, and how preparation paid off during a real emergency. Then, in our focus segment, John sits down with Terry Bohlke for an interview on “Leadership in the Trenches.” This episode is sponsored by Surgical Information Systems , RFX Solutions , Medserve and Ambulatory Healthcare Strategies . Notes and Resources from this Episode: Surgery Partners rejects Bain Capital buyout — Becker’s ASC (June 2026) North Star Health Alliance to close its Watertown ASC & orthopedic group — Becker’s ASC: beckersasc.com beckersasc.com Biggest physician risks facing ASCs in 2026 (VMG Health survey) — Becker’s ASC | Anesthesia staffing models — Becker’s ASC | Chasing volume is a “surge to the bottom” — Becker’s ASC beckersasc.com/asc-news Guest: Terry Bohlke — “Leadership in the Trenches” INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access Compare both programs: conferences.asc-central.com/membership-programs-2 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 Infection Control Survey Tool (Used by Surveyors for Infection Control) 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/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 Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website 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

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