Podcasts about surveyors

The Surveyors, Seó, and Ezra face off with... things beyond their realm. You can find Dash as @dashgearheart in all the places, such as Instagram and BlueskySpecial Guest: Dash Gearheart.

The Surveyors, Seó, and Ezra break into an abandoned school to learn something...off book. You can find Dash as @dashgearheart in all the places, such as Instagram and BlueskySpecial Guest: Dash Gearheart.

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payer moves disrupting ASCs, physicians — Becker's ASC: beckersasc.com Why anesthesia stipends could be inevitable amid outdated ASC models — Becker's ASC: beckersasc.com Feds: Iowa plastic surgeon defrauded Medicare through false billings — Iowa Capital Dispatch: iowacapitaldispatch.com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

In this edition of our BNE Product News quick-bite catch-up for Construction & Building Services professionals you will learn about Condair's BIM Award, Coverway's new ECO-Logic electronic range controller for washroom and bathroom sanitary ware systems, Why Condair was chosen to maintain a suitable humidity level for pipe organs in a variety of settings and Recotherm MD Martin Killen points to where the focus on saving energy in a Council buildings portfolio should start. The links to the full items of bite-sized learning included can be found on www.BusinessNetExplorer.com BNE Product News podcast content includes product launches, case studies / application stories, exhibition appearances and interviews with thought leaders. BNE is an evolving showcase of easy to digest, educational chunks of 'bite-sized / micro-learning' content, that in many cases could go toward meeting any targets that may be set for annual ‘Reflective CPD / Passive Learning' and ‘Self-Directed CPD / Unstructured Learning' CPD points. Please subscribe to receive regular updates. BNE supports the memberships of over 50 Trade Associations and the most common visitor types are as follows: Architects, Surveyors, House Builders, Local Authorities, Design & Build Contractors, Property Developers, Design & Build M&E Contractors, HVAC Contractors, Consulting Engineers, Building Services Engineers. #buildingdesign #learning #cpd

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

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

#307Picture the scene. It's a Tuesday morning in Hong Kong. March 2023. I'm checking emails and there's one with the subject line: Valuation report attached.My stomach churns — exactly like A-level results day.We'd spent months refurbishing a block of four one-bed flats bought at auction. We needed a specific number from the valuer to move the deal forward. I open the attachment. Scroll straight to the bottom, the way you always do, skipping past the caveats.The figure is £20,000 short of what we needed. Decided by one person. On one visit. On one day. Based on rules I didn't even know existed.That Tuesday morning is the reason for this episode.By the time we get to the end, you're going to understand exactly what happens behind the scenes of a UK property valuation, why valuers make the decisions they make, what red flags to look out for — and I'll share the one top tip that would have stopped that sinking feeling in its tracks.Check out our shorts on YouTubeOur WhatsApp  groupProperty Engine discounts (Code: EXPAT)Starter: 30 day trialPro: 30 day trial/3 mths 1/2 price, Ultimate: 1/2 price 3 monthsGoalsettingLeave a review37 Question Due Diligence Checklist / Auction GuideOur Sponsors: Finnigan McNeill Property GroupWhat We Cover in This EpisodeThis is a solo deep dive, broken into eight sections:1. What a UK Property Valuation Actually Is Most of us throw the word "valuation" around without thinking too hard about what's happening underneath it. When a lender sends out a RICS surveyor, they're protecting their money — not yours. That reframe matters.2. The Two Main Types of Valuation — and Why It Matters Which One You're Getting Bricks and mortar valuations vs commercial (yield-based) valuations. Same property. Completely different methodology. Completely different numbers. And here's the counterintuitive bit: the lower the expected yield, the higher the commercial valuation comes out. Worth remembering.3. The Three Flavours of Down Valuation A "down valuation" isn't one thing. There are at least three distinct types — a straightforward lower number, a retention (money held back until repairs are done), and the nastiest of the lot, a nil valuation. The fix for each one is completely different, so it's worth knowing which you've actually got.4. Why Valuations Matter — and When They Don't Plenty of genuinely good deals with a willing buyer and a willing seller on both sides collapse purely because of one person's opinion on one particular day. But if you're holding for the long term, a down valuation is often just a paper event. Your equity hasn't disappeared — it's just temporarily invisible.5. The Valuer's Perspective (and Why They're Working Inside a Cage) Here's the reframe that changes everything. After the 2008 financial crisis, valuers across the UK quietly adjusted their behaviour — being too generous is the version of being wrong that gets you sued. And lenders dictate exactly which comparables a valuer is allowed to use: sold only, not listed; within a certain radius; within the last six months. A perfectly good comparable just outside that window? Not permitted.Once you understand the cage the valuer is working inside, a lot of down valuations suddenly make a lot more sense.6. Working With Valuers — The Valuation Pack Presentation matters. Richard Nichols, who values HMOs professionally, says you can tell within the first hallway. Martin Smedley (episode 126) walks through the ideal valuation pack in detail — around 20 pages, bullet points, no essays, comparables with clickable links, floor plans, maintenance schedule. You're not just providing evidence. You're demonstrating competence, and valuers respond to that.Gary and Kirsty from Ormad Properties add rental evidence to their packs — viewings booked, Rightmove listings, tenancy agreements in progress — even before a tenancy is signed.(And yes, a cup of Yorkshire tea on the day of the visit doesn't hurt either.)7. The Red Flag: Hybrid Valuations Beware this one. Some so-called commercial valuations are not really commercial valuations at all. The lender takes your gross rent, knocks off a chunk for voids and maintenance, and lands at a number barely different from a standard bricks and mortar valuation — dressed up in commercial language, often costing upwards of £1,000.Whenever you hear "hybrid valuation" in a sales conversation, ask specifically which method is actually being used. The answer is rarely as exciting as the name suggests.8. Valuation Strategy: Reverse Engineer From the Outcome You Need Choose your lender and exit route before you buy — because the lender sets the rules the valuer has to play by, long before anyone walks through the door.And here's my top tip: commission your own independent valuation before the lender sends theirs. Your independent surveyor isn't working for a lender. They know the local area. They're more likely to give you a fair market value. And when the bank's valuer turns up, you're stood at the front door with a copy of that report. Surveyors don't like contradicting each other. That's the whole game.UK property, UK property valuations, UK property podcast, UK property investment, UK buy-to-let valuations, UK property surveyor, UK property market, UK mortgage process, UK commercial valuation, Expat UK property, UK bricks and mortar valuation, Down valuation UK property, UK HMO valuation, Royal Institute of Chartered Surveyors UK, How do valuations work for UK property?, Why was my UK property down valued?, Preparing a valuation pack for UK property, What is a hybrid valuation in UK property?, Working with UK property valuers as an expat, Avoiding disappointment with UK property valuations, What to include in a UK HMO valuation pack?, Common red flags in UK property valuations, Strategies for UK expats investing in property, Differences between commercial and residential valuations UK, Impact of valuations on UK property refinancing, How to appeal a down valuation in the UK property market, Choosing the right lender for UK property investment, Tips for remote investors in UK property, Guide to independent property valuations in the UKCheck out our new YouTube Channel @ExpatPropertyStory

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

RICS launched a new global Guide, Sustainability Practice for Surveyors (1st Edition), in June 2026.This is essential reading for all RICS APC and AssocRICS candidates for the mandatory Sustainability competency. Qualified surveyors must also undertake CPD on sustainability as a mandatory 3 yearly rolling requirements - so understanding the new Guide is a MUST.

In this special episode of the ASC Podcast with John Goehle, recorded at the Arizona Ambulatory Surgery Center Association's Annual Conference at the Sheraton Grand at Wild Horse Pass in Phoenix, Arizona, and in our studios in Spencerport, New York, we share interviews with two of the conference's featured speakers — Terry Bohlke and Daren Smith — and discuss the benefits of membership in the Arizona ASC Association. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: Arizona Ambulatory Surgery Center Association Website: arizonaasc.org    Join or Renew: arizonaasc.org/join Speakers Interviewed from the Conference Terry Bohlke — Leadership in the Trenches Daren Smith — Quality Studies: What to Fix & How to Get It Right 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

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

In this episode of the ASC Podcast with John Goehle we discuss the latest news in the ASC industry, recent survey experiences, Glove Shortages and we continue our year-long series on Artificial Intelligence with an interview with Mat Giladi at AmbuSun.   This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.     Notes and Resources from this Episode: CHAT CPR Article from Medical Life Sciences News https://www.news-medical.net/news/20260519/ChatCPR-system-shows-promise-for-improving-emergency-cardiac-arrest-response.aspx ASC Quality Collaboration: ASC Safety & Quality Assessment: https://ascquality.org/asc-safety-quality-assessment/ Flyer for the Assessment: https://www.dropbox.com/scl/fi/l038sdgdmsu33ub7ujm8v/ASC-Safety-Quality-Assessment-Flyer-2026.pdf?rlkey=au3vzvt62hs4zmifroufq6do9&dl=0 INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

In this episode of the ASC Podcast with John Goehle we discuss the latest news in the ASC industry, recent survey experiences, debrief from ASCA 2026, review the new Anthem policy on out of network providers, discuss Cardiac Ablations in the ASC environment and in our focus segment interview Becky Ziegler-Otis Assistant Executive Director at the ASC Quality Collaboration.    This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.   Notes and Resources from this Episode: ASC News- May 11, 2026 - Anthem Expands Out of Network Policy: https://ascnews.com/2026/05/hospitals-take-aim-at-anthem-as-insurer-expands-out-of-network-policy-whats-at-stake-for-ascs/?spMailingID=198771&puid=4098726&E=4098726&utm_source=newsletter&utm_medium=email&utm_campaign=198771 ASC News - May 27th - Cardiac Ablations Moving to ASC's https://ascnews.com/2026/05/this-is-better-for-patients-doctor-details-advocacy-push-best-practices-for-cardiac-ablations-in-ascs/?spMailingID=201106&puid=4098726&E=4098726&utm_source=newsletter&utm_medium=email&utm_campaign=201106 ASC Quality Collaboration: Website: https://ascquality.org/ 4th Quarter Quality Report: https://ascquality.org/wp-content/uploads/2026/04/ASC-Quality-Collaboration-Quality-Report-Fourth-Quarter-2025.pdf ASC Safety & Quality Assessment: https://ascquality.org/asc-safety-quality-assessment/ Flyer for the Assessment: https://www.dropbox.com/scl/fi/l038sdgdmsu33ub7ujm8v/ASC-Safety-Quality-Assessment-Flyer-2026.pdf?rlkey=au3vzvt62hs4zmifroufq6do9&dl=0 INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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

Episode SummaryDan opens with something that might ruffle a few feathers: gray exterior paint has had a long run, and it's starting to show. He talks about where the design world seems to be heading instead. Then he takes a detour into the surprisingly long and interesting story of how the tape measure came to be. From there, he walks through six practical budgeting tips for anyone with a renovation project on the horizon. And he closes out with a solid how-to on painting a front door, including one trick most people don't know that can save you from a really frustrating result.In This Episode[00:00] -- Is Gray Going Out? Exterior Color Trends Right Now[05:27] -- The Surprisingly Long History of the Tape Measure[18:43] -- Six Budgeting Tips to Keep Your Renovation on Track[34:30] -- How to Paint Your Front Door the Right WaySegment 1: Is Gray Going Out? Exterior Color Trends Right Now [00:00]Why Gray Took Over [00:50]Dan opens with a mild provocation: if you're thinking about painting the exterior of your home this year, gray might not be the move it used to be. Not because it looks bad -- it doesn't -- but because it's become the default. Drive through almost any subdivision built or updated in the last decade and you're looking at gray on gray on gray. When a color gets that ubiquitous, it stops signaling that someone made a deliberate choice. It just signals that someone painted a house.Gray came in as a reaction to the builder-beige era, and when it first appeared it really did look sharp. The modern farmhouse look, black window frames, white trim -- it all worked beautifully together. It still does. But a decade is a long time to run on the same palette, and a lot of homeowners are starting to feel like their neighborhood looks a little sterile. A little samey.What's Taking Its Place [02:42]The shift that's showing up in paint stores and design forecasts is toward colors that feel connected to the natural world around them. Warm greens, muted sage tones, earthy olives, sandy neutrals, warm taupes, creamy whites, and greige (the gray-beige hybrid) are all gaining ground. These aren't colors that scream for attention, but they don't disappear either. They feel settled. They feel like they belong to the land around them -- to wood and stone and brick and landscaping.Importantly, a lot of these same tones are showing up in interior color forecasts too, which makes sense. They're grounded, natural colors that work in a lot of contexts.The short version for anyone thinking about an exterior project this year: the design world is starting to say "maybe try something warmer." Cool, flat gray has had its moment.Dan's first rule of color still applies, though: if you like it, that's pretty much all that matters.Getting Help Choosing an Exterior Color [04:15]Picking a specific exterior color involves a lot of variables -- roof color, brick or stone if you have it, how much sun the house gets, which direction it faces. RepcoLite color consultants can help in store based on photos you bring in. Some will come out to the house for a design fee and make recommendations in person. Stop into any RepcoLite location to start that conversation, or reach Dan directly at radio@repcolite.com and he'll connect you with the right people.Segment 2: The Surprisingly Long History of the Tape Measure [05:27]Measuring Before Tape Measures [06:10]People have needed to measure things for as long as they've been building things. Early on that meant body parts -- hands, feet, fingers. The Egyptians used cubit rods. Surveyors used rods, cords, and chains, including something called Gunter's chain, which turned out to be less exciting than it sounds: a 66-foot chain made of around 100 links, dragged through farmland and over rocks. Useful, but not exactly something you clip to your belt. Tailors had flexible cloth tapes, but those could stretch, wear out, and absorb moisture, making them fine for measuring shoulders and waistlines but not reliable for repeated job site work.The challenge nobody had fully solved yet: how do you build something flexible enough to coil up for portability, accurate enough to trust, and durable enough for real work?James Chesterman and Spring Steel [09:05]Enter James Chesterman, born in England in the 1790s. He started out making powder flasks in London, which led him deep into the world of small spring-loaded mechanisms. He became fascinated with springs, flex, tension, and controlled energy. He later moved to Sheffield, one of Britain's great steel centers, where he became especially skilled with flat wire and spring steel.Spring steel is one of those materials that does remarkable things quietly. You bend it and it wants to come back. You coil it and it stores energy. You release it and it moves. That basic behavior shows up in clocks, doorbells, umbrellas, window blinds, and eventually in measuring tapes.One of Chesterman's applications for spring steel was crinoline frames, the steel-hooped undergarments that gave Victorian women that famous bell-shaped silhouette. Before spring steel frames, achieving that shape meant layers and layers of heavy petticoats. Chesterman's spring steel cage was lightweight, bendable when the wearer sat or moved, and then it would spring back into shape. Fashion application, yes, but also real engineering.The Crinoline Myth and What Actually Happened [11:50]There's a popular story that says Chesterman invented the tape measure because the crinoline craze died out and he was left with warehouses full of flat spring steel wire and needed something to do with it. It's a neat story. Dan admits he started researching this segment specifically because of that story.The problem is the timing doesn't hold up. The steel-frame crinoline became a major fashion item in the 1850s, but records show Chesterman was already working on steel measuring tapes as early as 1829. So the better version of the story is this: Chesterman was deep into spring steel and flat wire well before crinolines became fashionable, and those same skills turned out to be valuable during the crinoline boom. When fashions changed and that market faded, the same flat steel technology was redirected back into tools -- especially longer steel tapes for surveyors and engineers. His steel measuring chain improved on Gunter's design by using flat spring steel tape instead of links, jointed in 20-foot sections, markable with measurements, and rollable into a compact leather case.It was more portable than anything before it. But it still wasn't the modern tape measure.The Tape Measure Becomes What We Know [14:08]The next big leap came in America in 1864 when William Bangs Jr. patented a spring-return tape measure. Pull the tape out, take your measurement, let go, and the spring winds it back into the case. Useful -- and almost certainly the cause of more than a few pinched fingers.A few years after that, Alvin Fellows improved on the idea by adding a spring click that could hold the tape in place. Now it would lock in and stay instead of immediately retracting.Then in 1922, Hiram Ferrand solved one of the last big problems. A flat strip of steel will bend under its own weight the moment you extend it into the air. Ferrand changed the shape of the blade by curving it across its width -- concave on one side, convex on the other. That shallow curve gave the tape stiffness and let it extend several feet without collapsing.Stanley Company took all of these ideas and put them together into what we think of as the modern tape measure. They moved to a flatter, more squared-off case (which made inside measurements much easier), added the floating hook on the end (which slides slightly to compensate for its own thickness -- if your hook looks a little loose, that's intentional, not a defect), and stamped the case length right on the tool so you can push the back of the case against a surface and add that number to your tape reading without bending it into corners.In 1956, Stanley combined the curved blade with a retracting spring, which they describe as the point the first modern coilable and retractable tape measure was born. In 1963 they introduced the PowerLock -- molded case, thumb lock, yellow blade, sliding hook, one-handed convenience -- and when that patent expired, the PowerLock became one of the most copied tape measure designs in history. The one in your junk drawer is almost certainly descended from it.Segment 3: Six Budgeting Tips to Keep Your Renovation on Track [18:43]Home projects have a way of getting away from people. The obvious costs are easy enough to plan for. It's the stuff around the edges -- broken things, things you had to rebuy, delivery fees, disposal, unexpected problems behind the drywall -- that can quietly blow a budget wide open. Dan runs through six tips for thinking about money before the project starts so you're not scrambling once it's underway.Tip 1: Budget for What You Actually Want [20:45]Most people get this backwards. They pick a number first -- "we want to spend $20,000 on the kitchen" -- and then try to force the project into it. Once the work starts, they realize the kitchen they actually want costs $27,000, and now they're stuck making compromises under pressure.Flip it around. Start by being honest about what you actually want: the scope, the materials, the finish level you're expecting. Price that out as realistically as you can. Then work with the number you get. If it's too high, you can still make cuts, but you do it intentionally before the project starts...

The Surveyors leave the city proper behind and investigate the abandoned prison borough of Sloc Tur.

In this Special Episode of the ASC Podcast with John Goehle recorded live from the New Jersey Association of Ambulatory Surgery Center's 2026 Annual Conference in Somerset New Jersey on May 6-7, 2026, we interview some of the speakers and discuss recent activities for the association and the benefits of membership in the Association.  This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.   Notes and Resources from this Episode: The New Jersey Association of Ambulatory Surgery Centers https://njaasc.org/ INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

In this Episode of the ASC Podcast with John Goehle recorded live from ASCA 2026 at National Harbor in Washington DC the staff of Ambulatory Healthcare Strategies and the Podcast, and some of our clients and listeners gathered to talk at the end of the first two days of the conference to talk about the conference and their experience.     This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.     Notes and Resources from this Episode: ASCA https://www.ascassociation.org/home Announcing our upcoming Administrator's bootcamp - May 26-29 For More Information, go to: https://conferences.asc-central.com/bootcamps/ INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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

In this Episode of the ASC Podcast with John Goehle recorded live from ASCA 2026 at National Harbor in Washington DC the staff of Ambulatory Healthcare Strategies and the Podcast, and some of our clients and listeners gathered to talk about the first full day of the conference, issues that they see in the ASC Industry, and their experience so far at ASCA 2026.     This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.     Notes and Resources from this Episode: ASCA https://www.ascassociation.org/home DocBuddy https://docbuddy.com/ TriValence https://trivalence.com/ Announcing our upcoming Administrator's bootcamp - May 26-29 For More Information, go to: https://conferences.asc-central.com/bootcamps/ INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

In this Episode of the ASC Podcast with John Goehle recorded live from ASCA 2026 at National Harbor in Washington DC the staff of Ambulatory Healthcare Strategies and the Podcast, and some of our clients and listeners sit down before the conference started to talk about the conferences and what we hope to hear while we are at ASCA 2026.     This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.   Notes and Resources from this Episode: Announcing our upcoming Administrator's bootcamp - May 26-29 For More Information, go to: https://conferences.asc-central.com/bootcamps/ INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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

In this episode of the ASC Podcast with John Goehle, we discuss the latest news and information including Prior Authorization changes, a recent lawsuit related to billing, CON Changes, Fire Extinguisher Requirements, Medication management of High Alert Medications with Reversal Agents, and Supply Storage outside of the ASC. In our focus segment, we will discuss a recent Quality Safety & Oversight memo  clarifying the roles of Accrediting Organizations and State Survey Agencies when an ASC's deemed status is temporarily removed. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.   Notes and Resources from this Episode: Announcing our upcoming Administrator's bootcamp - May 26-29 For More Information, go to: https://conferences.asc-central.com/bootcamps/ Ambulatory Surgery Center News - April 21 Article About Prior Authorization: https://ascnews.com/2026/04/unitedhealth-group-defends-prior-auth-doubles-down-on-value-based-care-strategy/?spMailingID=195484&puid=4098726&E=4098726&utm_source=newsletter&utm_medium=email&utm_campaign=195484 Maine CON Law Changes - April 24th ASC Focus https://www.ascfocus.org/ascfocus/content/articles-content/articles/2026/digital-debut/maine-eases-certificate-of-need-requirements?utm_medium=email&utm_source=Act-On+Software&utm_content=email&utm_term=Maine%20Eases%20Certificate%20of%20Need%20Requirements&utm_campaign=Maine%20Eases%20Certificate%20of%20Need%20Requirements&cm_mmc=Act-On%20Software-_-email-_-Maine%20Eases%20Certificate%20of%20Need%20Requirements-_-Maine%20Eases%20Certificate%20of%20Need%20Requirements ASC News- April 22, 2026 by Robert Holly  https://ascnews.com/2026/04/allstate-accuses-surgery-partners-florida-ascs-of-fraudulent-billing-scheme/?spMailingID=195484&puid=4098726&E=4098726&utm_source=newsletter&utm_medium=email&utm_campaign=195484 QSO 18-12-Deemed Providers/Suppliers REVISED Clarification of the Accrediting Organizations (AOs) Role when a Provider or Suppliers Deemed Status has been Temporarily Removed https://www.cms.gov/medicare/provider-enrollment-and-certification/surveycertificationgeninfo/policy-and-memos-to-states-and-regions-items/qso-18-12 INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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

The Surveyors arrive at the Tangleshine home, and learn about what has been taken.

How Much Does Life Insurance Really Cost? Episode 381 – A recent survey by LIMRA presented a jarring statistic: young adults believe that the cost of a life insurance policy is 10 to 12 times higher than it really is. The truth is that, for young people, the security and peace of mind a life insurance policy may provide may be a lot more affordable than you think. More SML Planning Minute Podcast Episodes Transcript of Podcast Episode 381 Hello, this is Bill Rainaldi, with another edition of Security Mutual's SML Planning Minute. In today's episode: how much does life insurance really cost? According to a survey by LIMRA, a life insurance trade organization, and Life Happens, an industry nonprofit, younger Americans tend to overestimate the cost of life insurance to a startling extent. Surveyors asked people aged 18 to 30 how much they thought a 20-year term life insurance policy would cost. The estimates were off-base. They averaged between 10 and 12 times the actual cost.[1] This is a common misconception. A surprising number of people, particularly younger Americans, believe that life insurance is more expensive than it actually is. The perceived cost was cited as a reason why many Gen Z and Millennial adults, who generally recognize the need for life insurance, do not have it.[2] Why do people get the numbers so wrong? According to author Dan Kraft at Life Insurance News, the answer might be found by studying behavioral economics and the concept of “anchoring.” “When consumers think of life insurance, they anchor the idea to big, long-term expenses—mortgages, car payments or medical bills. The assumption becomes: If it's long-term, it must be expensive.”[3] According to NerdWallet, if you're a 30-year-old in good health, the average cost for a $500,000 20-year term life insurance policy is $215 per year for males, and $194 per year for females.[4] In other words, less than $20 per month. Keep in mind that these are average rates for non-smokers. If you smoke, the rates are likely going to be considerably higher. Compare that to the cost of a cup of coffee, which averages $3 to $4 at Starbucks, depending on the location, size and type.[5] So if you're getting coffee more than 6 or 7 times a month, a life insurance policy could be cheaper. Streaming services are another example of something that can be more expensive than life insurance. The average cost is $70 per month, per household.[6] What this means is that even though many don't realize it, a small adjustment in your discretionary spending could help provide you with peace of mind and a more secure future for you and your family. But of course, we're talking here about a term life insurance policy, and term policies expire. How much does a permanent life insurance policy cost? When it comes to whole life insurance, the average annual cost is $3,662 for men age 30, and $3,292 for women.[7] That's considerably more, but not as much as some might expect. And in the long run, buying life insurance younger may, in fact, be less expensive. By the time your first term life insurance policy expires, the next one is going to cost more, simply because you're older. And that assumes you can even qualify medically for a new policy. Any adverse health development over that initial 20-year period could make it much more expensive—or even impossible—to buy a new policy. Also, whole life insurance policies can accrue a cash value, which a term life insurance policy doesn't. In certain circumstances, you may be able to access the cash value in the policy if you need to, by taking withdrawals or policy loans. The net cost, or difference between premiums paid and cash value, could be considered as the true out of pocket cost of the policy. In some cases that is less than a term policy, and for permanent coverage. But remember that with all types of life insurance—whether term or permanent—the rates go up as you get older. Your second term life insurance policy is very likely to cost a lot more than the first one, even if your health stays the same. But whole life insurance gives you the chance to lock in those lower rates for life. It may cost more now, but with most policies the premium stays the same for life. If you choose a whole life insurance policy, someday you may be glad you did. These are broad guidelines and policy contracts can have different characteristics, even if they're the same basic type of policy. So be sure to compare your options carefully. Your Security Mutual Life insurance agent can help. Your Security Mutual Life insurance agent can augment or assemble your team and coordinate with your attorney and tax professional to review your situation and to determine the insurance plan that will best suit your needs and objectives. Regardless of which type of policy you choose, perhaps the most important decision you can make is to simply get started. As with so many other things, the longer you wait, the more it could end up costing you. [1]LIMRA. “Adults Age 30 and Younger Overestimate Life Insurance Cost by 10–12 Times.” LIMRA.com.  https://www.limra.com/en/newsroom/news-releases/2025/adults-age-30-and-younger-overestimate-life-insurance-cost-by-1012-times/ (accessed March 18, 2026). [2] Id. [3] Kraft, Dan. “Is life insurance cheaper than coffee?” Insurancenewsnet.com. https://insurancenewsnet.com/innarticle/is-life-insurance-cheaper-than-coffee (accessed March 20, 2026).  [4] Iervasi, Katia. “Average Life Insurance Rates for March 2026.” Nerdwallet.com. https://www.nerdwallet.com/insurance/life/learn/average-life-insurance-rates (accessed March 19, 2026). [5] HackTheMenu. “Starbucks Menu Prices (2026).” Hackthemenu.com. https://hackthemenu.com/starbucks/menu-prices/ (accessed March 20, 2026). [6] Lee, Wendy. “Consumers are spending $22 more a month on average for streaming services. Why do prices keep rising?” The Los Angeles Times. https://www.latimes.com/entertainment-arts/business/story/2025-11-21/why-do-streaming-prices-keep-rising-disney-netflix-paramount-what-to-know (accessed March 20, 2026). [7] Iervasi, Katia. “Average Life Insurance Rates for March 2026.” Nerdwallet.com. https://www.nerdwallet.com/insurance/life/learn/average-life-insurance-rates (accessed March 19, 2026). More SML Planning Minute Podcast Episodes This podcast is brought to you by Security Mutual Life Insurance Company of New York, The Company That Cares®. The content provided is intended for educational and informational purposes only. Information is provided in good faith. However, the Company makes no representation or warranty of any kind regarding the accuracy, reliability, or completeness of the information. The information presented is designed to provide general information regarding the subject matter covered. It is not to serve as legal, tax or other financial advice related to individual situations, because each individual's legal, tax and financial situation is different. Specific advice needs to be tailored to your situation. Therefore, please consult with your own attorney, tax professional and/or other advisors regarding your specific situation. To help reach your goals, you need a skilled professional by your side. Contact your local Security Mutual life insurance advisor today. As part of the planning process, he or she will coordinate with your other advisors as needed to help you achieve your financial goals and objectives. For more information, visit us at SMLNY.com/SMLPodcast. If you've enjoyed this podcast, tell your friends about it. And be sure to give us a five-star review. And check us out on LinkedIn, YouTube and Twitter. Thanks for listening, and we'll talk to you next time. Tax laws are complex and subject to change. The information presented is based on current interpretation of the laws. Neither Security Mutual nor its agents are permitted to provide tax or legal advice. The applicability of any strategy discussed is dependent upon the particular facts and circumstances. Results may vary, and products and services discussed may not be appropriate for all situations. Each person's needs, objectives and financial circumstances are different, and must be reviewed and analyzed independently. We encourage individuals to seek personalized advice from a qualified Security Mutual life insurance advisor regarding their personal needs, objectives, and financial circumstances. Insurance products are issued by Security Mutual Life Insurance Company of New York, Binghamton, New York. Product availability and features may vary by state.​ SubscribeApple PodcastsSpotifyAndroidPandoraby EmailTuneInDeezerRSSMore Subscribe Options

In this podcast episode, Dr. Jonathan H. Westover talks with Bret Boudreaux about How Employee Ownership Helps Our Committees Work Better.Bret Boudreaux Director of Recruitment and Retention at BL Companies — a multi-disciplinary, employee-owned firm offering services related to architecture, engineering, environmental, and land surveying. In his role, Bret oversees the sourcing, recruiting and hiring of Engineers, Architects, Environmental Scientists and Surveyors for all of BL's 19 locations, and works closely with the firm's Employee Owners on their own professional development and company-wide professional development programming. Bret is Chair of BL's Technical Development Committee and Past-Chair of the ESOP Communications Committee. He is also VP of Programming for the New England Chapter of The ESOP Association. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

When a surveyor walks through your doors, what are they really looking for? In this episode of Home Health Revealed, we sit down with Becky Tolson from ACHC to break down the top five deficiencies cited in home health surveys—and why they continue to show up across agencies. From plan of care and medication management to documentation habits and infection control, Becky shares what surveyors see most often, where agencies fall short, and how to fix it before it becomes a citation. If your team struggles with documentation, communication, or staying survey-ready, this episode offers practical insights to help you close the gap between care and compliance. Chapters (00:00:03) - Home Health Revealed(00:00:27) - Becky Tolson on Accreditation Commission for Healthcare(00:01:19) - What Are Surveyors Looking For in an Agency's Patient Care?(00:04:09) - Home Health Complaints: Top 5 Tags(00:08:07) - Obstructions to the Plan of Care(00:10:03) - 536 and MedPro Profile(00:11:11) - Home Health Agency Medication Documentation(00:14:14) - Care Record 7,10, Communication breakdowns and documentation(00:18:51) - Clinical Visit Notes, 3 of 4(00:27:57) - Home Visits, G682, Infection Control(00:30:52) - Home Visits: Do we Need More Citations?(00:33:51) - How to Get in Touch with ACHC on Connection Education(00:35:47) - Survivors of the Titanic

Send us Fan Mail"Victory" Via Deception and Squatting.Reference Michelle Vosburgh, 2002, Bending the Rules: Inspectors and Surveyors and Upper Canada's Land Policies. Essay. Found in the Ontario Historical Society's Journal: Ontario History, Volume XCIV, Number 2, Autumn 2002, page 152.Support the show

(Apr 8, 2026) The number of land surveyors who retire each year in the U.S. is about double the number who come into the profession, and New York surveyors want to turn that trend around; able-bodied veterans are no longer exempt from SNAP's work requirements under the One Big Beautiful Bill Act that Congress passed last year; and an astronomer at Clarkson University shares how new studies of gravity have helped with NASA's current mission to the moon.

(Apr 8, 2026) The number of land surveyors who retire each year in the U.S. is about double the number that come into the profession. That's created a shortage that surveyors in the North Country are trying to turn around. Also: Some state lawmakers are backing changes to a state environmental law that they think might be holding up the construction of new housing.

In this episode of the ASC Podcast with John Goehle, we discuss the latest news, review top technology hazards, review AORN guidance on double gloving, discuss the new RQI program from the American Heart Association, provide an update on survey finding trends, and in our focus segment, continue our Accreditation Organization Series with an interview with Michelle Coalson from DNV.    This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.     Notes and Resources from this Episode: Job Growth in Healthcare from Health Leaders Media: https://www.healthleadersmedia.com/ceo/healthcare-drives-72-job-growth-november Beckers ASC Review from Dec 29th https://www.beckersasc.com/leadership/inside-leapfrog-recognized-asc-where-staff-arent-scared-of-surveyors/?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=0573H1191845C8E ECRI Top 10 health Tech Hazards for 2026 (Periop Leader Network) https://www.periopleader.com/briefs/ecri-lists-its-top-10-health-technology-hazards-for-2026/?utm_source=omeda&utm_medium=email&utm_campaign=ormam+eletter&oly_enc_id=3914G8504789C8H AORN Position on Double Gloving https://aornjournal.onlinelibrary.wiley.com/doi/10.1002/aorn.14447?mkt_tok=NTQ1LUtDUC0xNjMAAAGex4IC1AFZFI75mpy1pATj6O8lReaLjRiNTr26ffM3gP_eNuVwBDOetc0X-kMkCajRSKRJS7dkozVbeXovvdDBC25EHihs7fHhT6DzC66kRXzb DNV Website: NIAHO® accreditation for ambulatory surgical centers Announcing our upcoming Bootcamps! Director of Nursing Bootcamp April 7-10  Administrator's bootcamp - May 26-29 For More Information, go to: https://conferences.asc-central.com/bootcamps/ INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

Summary In this insightful interview with Bruce Lederman, President and CEO of Charles E. Smith Lifestyle Communities, he shares his extensive experience in senior living, exploring its evolution, current challenges, and future trends, especially focusing on the pivotal year 2026. The discussion covers industry history, policy impacts, generational perspectives, economic factors, innovative care models like PACE and the importance of understanding aging options. The conversation emphasizes the importance of choice, social connection, and addressing ageism in aging care.keywordssenior living, aging, PACE, policy, ageism, elder care, innovation, future of senior care, inclusionkey topicsThe impact of policy changes on senior livingThe role of PACE in elder careAddressing ageism and social isolation in agingsound bites"The legislature is looking at pretty significant cuts for Medicaid""Why can't Surveyors of senior living also be coaches at the same time that they're holding nursing homes to standards?"Chapters00:00 Introduction to Senior Living and Its Evolution03:43 Personal Journeys in Senior Living07:04 Generational Perspectives on Aging09:40 The Economics of Aging and Senior Living12:36 Challenges in Senior Living Options14:58 Navigating Long-Term Care Insurance and Family Dynamics17:48 The Evolution of Senior Living Services21:08 The Role of Technology in Aging23:38 Policy Challenges and Opportunities in Senior Care26:52 The Importance of Family and Community in Senior Living27:50 Regulatory Frameworks and Oversight in Senior Care30:21 Inclusivity and Diversity in Aging33:15 The Complexity of Aging and Decision-Making35:38 Fighting Ageism and Valuing Older Adults52:03 Podcast Intro Music Project (MASTER BOUNCE - OUTRO).mp3ResourcesConnect with Bruce J. Lederman on LinkedInNational Pace Association to find a PACE program in your area. Charles E. Smith Life Communities SAGE - Services & Advocacy for GLBT EldersRest is History Podcast Inspired Caring is THE family support & education program that helps families feel calm and confident to make better decisions faster. Inspired Caring is also offered as an annual membership tobusinesses to provide for the families they work with.Connect with Michele Magner:⁠Website⁠⁠E-mail⁠Instagram⁠⁠Facebook⁠⁠LinkedIn⁠⁠YouTube⁠Custom podcast music written and produced by Colin Roberts. He does custom songs for any occasion.

In this episode of the ASC Podcast with John Goehle, we discuss the latest news and information, review the regulatory impact over the past year on ASCs, discuss required Department of Transportation Training related to Regulated Medical Waste and in our focus segment, continue our Accreditation Organization Series with an interview with Noel Adachi, Chief Executive Officer for the Accreditation Association for Ambulatory Health Care (AAAHC).    This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.     Notes and Resources from this Episode: Beckers ASC Review 10 Biggest Disruptions to ASC's https://www.beckersasc.com/asc-news/the-10-biggest-disruptions-to-ascs-to-prepare-for-in-2026/?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=5567B4088734C3Z From Beckers ASC Review - The ASC Policy Whiplash https://www.beckersasc.com/asc-coding-billing-and-collections/the-asc-policy-whiplash/?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=5567B4088734C3Z The Accreditation Association for Ambulatory Healthcare (AAAHC) https://www.aaahc.org/ Announcing our upcoming Bootcamps! Director of Nursing Bootcamp April 7-10  Administrator's bootcamp - May 26-29 For More Information, go to: https://conferences.asc-central.com/bootcamps/ INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

This week's episode of “Surveyor Says! The NSPS Podcast” is the next installment of “From the Director's Desk” with your host, NSPS Executive Director Tim Burch and features stories about National Surveyors Week. Tim shares the origin story of how the third week of March became a fixture on the surveyor's calendar as well as current events happening for 2026. A very informational episode you don't want to miss so check it out today!

The Surveyors and their crew find themselves at a house party for Yarrow's Eve. Can they find Nix, what can the learn about the city, and (most importantly) who's taking the main stage?

In this episode of the ASC Podcast with John Goehle, we discuss the impact of recent weather events, provide an update on the New York City Nurses strike and how it could impact ASCs, introduce our upcoming Director of Nursing and Administrators Bootcamps, and in our focus segment begin our year-long deep dive into artificial intelligence with Mat Giladi from Ambusun.   This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.     Notes and Resources from this Episode: Announcing our upcoming Bootcamps! Director of Nursing Bootcamp April 7-10  Administrator's bootcamp - May 26-29 For More Information, go to: https://conferences.asc-central.com/bootcamps/ ASC Central: ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

In this episode of the ASC Podcast with John Goehle, we discuss the latest news in the industry, recent survey experiences, including a reminder about expiration dates, review 2025's profitability breakthroughs and in our focus segment we discuss Malignant Hyperthermia with Dr. Andrew Herlich This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.   Notes and Resources from this Episode: Beckers ASC review-- Most Profitable Breakthroughs in 2025: https://www.beckersasc.com/asc-transactions-and-valuation-issues/ascs-most-profitable-breakthroughs-in-2025/?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=5567B4088734C3Z Boston Bowel Prep Scale: https://www.endoscopy-campus.com/en/classifications/boston-bowel-preparation-scale/ INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

In this episode of the ASC Podcast with John Goehle, we cover the latest on hospital industry strikes, the need for non-generator-backed outlets in the OR, off-site sterilization, deemed vs. non-deemed status surveys, and in our focus segment, an interview with Rommie Johnson from ACHC as part of our accreditation organizations series.   This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.   Notes and Resources from this Episode: ACHC Website: https://achc.org/ 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) Infection Control 201 – Advanced Training for Infection Control Coordinators (September 2024 Recording) INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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

Episode Description: What happens when half of an entire profession retires within a few years? Dustin Gardner, a fourth-generation surveyor, is facing that reality head-on. The average licensed land surveyor is now in their early 60s, and the industry is racing against time to train the next generation before decades of expertise walks out the door. In this conversation, Dustin pulls back the curtain on a profession that touches every construction project, property transaction, and development—yet remains deeply misunderstood. From the hidden work that happens before anyone steps foot on a site, to lifetime liability that follows every stamp, to why vampire folklore matters to modern surveying, this episode reveals why attracting new talent means changing how we tell the story. Whether you’re in civil engineering, construction, or leadership, you’ll walk away with fresh perspective on workforce development, cross-generational knowledge transfer, and how family businesses can be a retention advantage rather than a limitation. Key Takeaways: The surveying profession is losing half its licensed professionals to retirement in the next few years, with the average license holder now in their early 60s—creating an urgent need to train the next generation while mentorship is still available. Surveyors carry lifetime liability for every job they stamp—meaning they can be sued for their very first project at their retirement party—yet the profession hasn’t kept pace with inflation on pricing since 2000. The biggest misconception about surveying is that the fieldwork is the work, when in reality, days of courthouse research, calculations, and post-field analysis happen before and after the visible hour on site. Family businesses offer a competitive advantage in retention because people who feel like family at work are more likely to stay, creating natural pathways for the next generation to enter the profession. Reframing surveying from “working in the dirt” to “solving complex problems outdoors with history, math, and law” can attract a new generation who wants intellectual challenge without being desk-bound. Timestamps: [00:24] Introduction – The talent shortage across engineering industries[01:16] The aging crisis in surveying – Half the profession retiring soon[02:17] What surveyors actually do (beyond boundary lines)[06:10] Misconceptions about surveying work and pricing[11:30] Strategies for attracting the next generation[16:45] Why family businesses can be a retention advantage[25:23] Surveying folklore – The boundary pusher vampire[28:07] Leadership advice for introverts in technical professions[29:57] Coach in Your Corner – You are bound by what you define Guest Information: Name: Dustin Gardner, Fourth-Generation Land Surveyor Connect: LinkedIn: https://www.linkedin.com/in/dustin-gardner-rls-292781220/ Instagram: @the_superstitious_surveyor About the Host: Dr. James Bryant is an engineering leadership coach and host of the Engineer Your Success podcast. He works with engineering and technical leaders who want to win at work and win at home. James helps leaders make intentional decisions about how they lead, work, and live, so success in one domain strengthens the other over time. His approach emphasizes clarity, responsibility, and long-term integrity—acknowledging the effort and trade-offs leadership requires while rejecting the assumption that success must come at the expense of family, health, or presence. Connect with James on LinkedIn or visit www.eysnow.com

In this episode of the ASC Podcast with John Goehle we discuss the latest news in the industry. Instrument Decontamination and in our focus segment we discuss Balancing Physician Satisfaction with Patient Safety Through EHR Hard Stop Optimization   This episode is sponsored by Surgical Information Systems,    Notes and Resources from this Episode: VMG health survey AAC Leader Expectations for 2026 https://1863187.fs1.hubspotusercontent-na1.net/hubfs/1863187/VMG%20Health%20ASC%20Leader%20Expectations%20for%202026%20Survey.pdf Beckers- Red flags in Hospital/ASC Joint Ventures https://www.beckersasc.com/asc-transactions-and-valuation-issues/red-flags-to-watch-in-asc-hospital-joint-ventures/?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=0573H1191845C8E 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) Infection Control 201 – Advanced Training for Infection Control Coordinators (September 2024 Recording) INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

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, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.   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) Infection Control 201 – Advanced Training for Infection Control Coordinators (September 2024 Recording) INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

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, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.   Notes and Resources from this Episode: QuadA Website: https://www.quada.org/ INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

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,    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 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 provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

Check out these highlights from Day 2 of this year's awesome event!!! 00:10 - Kristie Achee, Sr. Project Manager @ QK & Kathy Nitayangkul, Land Surveyor and Partner @ Polaris Land Surveying 14:00 - Carol Morman, Owner @ CLM Surveying & Engineering and Program Chair, Professor Land Surveying @ Cincinnati State Technical and Community College & Cara Tryling, Professional Land Surveyor @ Brandstetter Carroll Inc.  28:45 - Isabella Totra, Student @ Saint Louis University & Iris Saldana-Zapata, Senior CAD Technician @ Sabak, Wilson & Lingo, Inc and Student @ Vincennes University AND 2026 Geoholics WSS Scholarship WINNERS!! 45:10 - Kaitlin Constantine, Professional Land Surveyor @ DOWL and YOUNGEST female licensed land surveyor in NV & Rita Lumos quite possibly the OLDEST female licensed land surveyor in NV!!! 1:01:20 - Evi De La Rosa Ricciardi, Professor Land Surveying Engineering @ University of Puerto Rico-Mayaguez & Genesis Feliciano, Student @ University of Puerto Rico-Mayaguez & Yanielyz Paola, Student @ University of Puerto Rico-Mayaguez    

Check out these highlights from Day 1 of this year's awesome event!!! 04:00 - Heather Markley, Vice President @ Future Surveyors Foundation and Sr Vice President @ LJA Surveying, Inc. 16:00 - Natalie Martinez-Vega, Land Surveyor @ US Army Corp of Engineers & Jade Castillo, Topography Technician @ V. Seda & Associates PSC 37:00 - Trisha Lund, Owner of WLG Surveying Solutions 51:00 - Jeanette Harley, Owner of Harley Surveying & DeeDee Frasure, Surveyor @ Timmons Group 1:02:15 - Schuyler Sears, Survey Field Technician @ IMEG Corp 1:17:00 - Marissa Almiron, Phase Manager @ SAM & Ruth Trujillo Rodriguez, President & CEO @ Ruth L. Trujillo Rodriguez Professional Land Surveyors, PSC 1:33:00 - Alicia Tabachnick, Land Surveyor @ Timmons Group & Tiana Marbuery, Project Surveyor @ McKim & Creed, Inc.  

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, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.  Notes and Resources from this Episode: Final Rule: 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 Fact Sheet about Final Rule: 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 ASC Quality Reporting web site: https://www.qualityreportingcenter.com/en/ascqr-program/ ASC Association Web Site (Join to get more information): http://ascassociation.org INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

In this Special Episode of the ASC Podcast with John Goehle recorded live from the Colorado Ambulatory Surgery Center Association 2025 Annual Conference and Trade Show in Golden, Colorado, we interview some of the attendees, speakers and discuss recent activities for the association and the benefits of membership in the Association.   This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.     Notes and Resources from this Episode: Link to the Colorado Ambulatory Surgery Center Association Website: https://coloradoasc.org/ INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! http://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 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! 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 

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, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.   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 AAAHC Quality Roadmap Press Release 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/ 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 provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

Measuring Snow: Citizen Science in the CatskillsSummary: Winter in the Catskills isn't just about skiing, sledding, or shoveling. Snowpack plays a critical role in our water resources, local economies, and even global climate regulation. In this episode, Brett Barry speaks with Dr. Marco Tedesco of Columbia University's Lamont‑Doherty Earth Observatory, about the NASA‑funded X‑Snow Project — a citizen science initiative inviting volunteers to measure, photograph, and collect snow data across the region.Together, they explore how local observations help validate satellite models, improve climate predictions, and build community engagement around environmental stewardship.

In this Special Episode of the ASC Podcast with John Goehle recorded live from the  Washington Ambulatory Surgery Center Association Annual Education Conference in Tulalip WA we interview some of the speakers and discuss recent activities for the association and the benefits of membership in the Association.   This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.   Notes and Resources from this Episode: Washington Ambulatory Surgery Center Association Website: https://wasca.net/ Membership Benefits: https://wasca.net/join/benefits-of-membership/ INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

In this Episode of the ASC Podcast with John Goehle we discuss the latest news and information in the ASC Industry, discuss the effect of the Government Shutdown on CMS Surveys, review the recent Amazon Web Services issues and its impact on ASC Computer Systems and celebrate Cybersecurity Month with Paul Alcock from Surgical Information Systems.   This episode is sponsored by Surgical Information Systems,     Notes and Resources from this Episode: Memo #QSO-26-01-ALL REVISED REVISED: Contingency Plans – State Survey & Certification Activities in the Event of Federal Government Shutdown https://www.cms.gov/medicare/health-safety-standards/quality-safety-oversight-general-information/policy-memos/policy-memos-states-regions/revised-contingency-plans-state-survey-certification-activities-event-federal-government-shutdown ASCA Survey on EMR Adoption in ASCs https://www.ascfocus.org/ascfocus/content/articles-content/articles/2025/digital-debut/asca-survey-shows-continued-growth-of-ehr-usage-by-ascs?_gl=1*skvj45*_ga*Mjg5MjgyMjUzLjE3NDk1NTUzOTk.*_ga_5DE4L5HXFY*czE3NTYxNzM2ODckbzQwJGcwJHQxNzU2MTczNjg4JGo1OSRsMCRoMA.. INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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 

In this Special Episode of the ASC Podcast with John Goehle recorded live from the New York State Association of Ambulatory Surgery Centers 2025 Annual Conference in Albany, New York we interview some of the speakers and discuss recent activities for the association and the benefits of membership in the Association. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.   Notes and Resources from this Episode: Link to the New York State Association Website: https://www.nysaasc.org/ INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! http://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 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! 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 

In this Special Episode of the ASC Podcast with John Goehle recorded live from the Oregon Ambulatory Surgery Center Association Annual Conference in Portland, Oregon we interview some of the speakers and discuss recent activities for the association and the benefits of membership in the Association.   This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.   Notes and Resources from this Episode: Membership Information for the Oregon Association: https://ascoregon.org/ INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! 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 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! 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