Vol. VIII, No. 3Archive > March, 2007

Should You Add Spine Surgery?

Reimbursement, case volume and capital expenses are key to outpatient neurosurgery.

David Bernard, Senior Associate Editor

The minimally invasive revolution has brought selected spinal procedures to outpatient surgery's ORs, with anterior cervical disc fusion, lumbar laminectomy, percutaneous discectomy, percutaneous vertebroplasty and disc decompression among them. Here's advice from administrators who've made outpatient spine a success.

 
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Who's paying for this?; Surgeons on board; Equipping your OR; Patient selection, scheduling; C-arms; Center; Diagnostic; Experts; Faro; Knightsbridge Surgery Center; Medicare; Moody; Mr. Moody's; Nashville, Tenn.-based; Outpatient; PACU; PPOs; Rates; Reimbursed; Spine; Surgery Center; Tenn.-based; abilities; access; accessories; accommodate; add; adding; addition; administrator; advance; advice; agile; aim; allowing; amount; anatomy; anesthesia; anterior; applicable; approach; arranging; arrival; assistant; attachments; aware; balanced; based; bells; benefits; billing; block; board; bottom; bring; bringing; brought; budget; business; buy; capital; carveouts; case; cases; cash; center; centers; certified; cervical; champion; championing; chief; coder; codes; coding; collected; combined; comfortable; comp; complex; concessions; consistent; consistently; contracts; corporate; cost; costing; costs; customized; day; dealing; decision; decompression; default; demand; demo; depending; determined; developed; differ; difficult; diplomacy; disc; discover; distance; doctor; driven; dual; early; early-morning; enlisting; equip; equipment; equipping; existing; expense; expensive; experience; experiences; facility; fairly; fall; familiarity; financially; find; firm; flexibility; focal; gatekeeper; gave; goal; guys; halogen; hands-on; healthy; high-priced; higher; highest; hospital; ideally; imaging; impact; implants; importance; important; impose; inconsistent; initial; inpatient; instrument; insurers; invasive; involves; involving; issue; knowing; largely; largest; lease; lends; less-than-fiscally-practical; light; limits; listing; live; local; long-standing; longer; lose; losing; lot; loupes; lumbar; lying; made; major; make; managed; managers; materials; medical; meet; mind; minimally; models; money; month; move; multi-specialty; multiple; necessarily; negotiating; neuro; neurosurgeons; notes; nurse; officer; operating; optics; order; ortho; orthopedic; outcomes; outpatient; outsourcing; page; paid; participating; partner; past; patient; patients; payers; paying; people; perceived; percent; percutaneous; perform; performed; period; personnel; physical; physician; physician-owned; physicians; piece; plan; position; possesses; post-op; potentially; power; practice; prepare; principal; procedure; procedures; professionals; profitable; proper; provide; purchase; purchasing; rate; realities; reap; rebound; recommend; recommendations; recovery; recruiting; refurbished; reimbursable; reimburse; reimbursed; reimbursement; rely; renewal; require; results; retractors; retrofit; returns; revolution; risk; run; schedule; scope; scopes; selected; selecting; selection; selective; services; signed; significant; single; source; specialized; specialty; specific; spell; spent; spinal; spine; staff; standardization; standing; start; starting; state's; stay; step; stereo; stresses; stronger; success; successful; suitable; suited; supplied; supplies; surgeon; surgeries; surgery; surgical; table; tables; talking; team; terms; things; third-party; three-dimensional; thrifty; time; timely; tools; total; tray; trialing; trials; type; typically; understood; vendors; vertebral; vertebroplasty; view; volume; warns; wealth; who've; work; worker's; xenon
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