Ambulatory Surgery Centers

Ambulatory Surgery Centers
The fundamental changes in the Medicare reimbursement scheme, coupled with the increasing pressure to streamline healthcare delivery systems, have given rise to a dramatic increase in the development of Ambulatory Surgical Treatment Centers (ASCs or ASTCs) in recent years. In 1982, the year Medicare first approved reimbursement for ASC procedures, there were approximately 293 ASCs in existence. Recent surveys indicate that there are currently over 5,500 ASCs nationwide performing nearly 65 percent of all surgeries.

Establishing ASCs is the modern, cost effective way in which to provide high quality patient care. Murer Consultants helps in the development and establishment of ASCs. Murer assists with strategic planning in order that a facility may focus on providing efficient quality care, convenience for both the physicians and the patients, and ensuring patient satisfaction. ASCs primarily focus in the following areas: Gastroenterology, Ophthalmology, Pain Management, Dermatology, Orthopedics, and Urology. However, it is becoming more beneficial to develop a broader range of multi-specialty services at the ASTC venues.

Hospitals also have found it advantageous to convert their outpatient departments to ASCs and to build new ASCs to serve its existing patient population. Some of the advantages of ambulatory surgery are reduced costs, more effective use of physicians’ time, and greater bed availability.

Murer Consultants expertise in ASC development includes:

  • Structuring physician acquisitions/developments to comply with relevant Anti-Kickback Safe Harbors, including joint ventures between physician groups and hospitals;
  • ASC development strategies for recruiting the correct surgical physicians in sufficient numbers to help insure profitability and efficiency;
  • ASC Feasibility Studies/Forecasting Reports, including comparisons of Medicare reimbursement under the Outpatient PPS and ASC Payment Rates;
  • Medicare/Medicaid Enrollment and Certification;
  • ASC State Licensure, Certificate of Need (CON), and Certificate of Exemption (COE);
  • Change of Ownership, including valuation analysis, chart audits, and billing and reimbursement audits;
  • Development of specialized compliance policies specific to ASCs that ensure compliance with the Medicare conditions of participation and further address specific ASC billing concerns; and
  • Preparation for accreditation surveys by The Joint Commission, the Accreditation Association for Ambulatory Health Care (AAAHC), and the American Association for the Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF).