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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > April, 2007 Vol. VIII, No. 4

Legal Update

Can We Convert Our ASC to a Hospital Outpatient Department?

Daniel H. Melvin, JD

The gap between ASC rates and hospital outpatient rates for the same procedures is wide and about to get wider. That's if CMS pays ASCs 62 percent of HOPD rates when it unveils its restructured outpatient payment system. In reaction to this, many ASC investors will convert their ASCs into hospital-based sites so they can bill at the higher rates. To help you understand whether you might want to explore such an undertaking, here are the short answers to 10 frequently asked questions on ASC-to-hospital conversion.

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Categories: Business Management, Legal/Regulatory
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For further exploration; ASC-to-hospital; ASCs; Anti-kickback Statute; CMS; Generally; HOPD; Law; Medicare; Office; Stark Law; State; Statute; ability; administrative; advisory; ambulatory; answers; arrangement; asked; assuage; bear; benefits; bill; billed; billing; building; campus; care; certificate; check; civil; clinical; codes; commented; commercial; compensation; confirms; consult; contract; contracted; contracts; control; conversion; convert; converting; counsel; create; criteria; crow; current; date; de-certify; decision; define; determination; difficult; direct; distant; doubts; emplo... show all keywords
For further exploration; ASC-to-hospital; ASCs; Anti-kickback Statute; CMS; Generally; HOPD; Law; Medicare; Office; Stark Law; State; Statute; ability; administrative; advisory; ambulatory; answers; arrangement; asked; assuage; bear; benefits; bill; billed; billing; building; campus; care; certificate; check; civil; clinical; codes; commented; commercial; compensation; confirms; consult; contract; contracted; contracts; control; conversion; convert; converting; counsel; create; criteria; crow; current; date; de-certify; decision; define; determination; difficult; direct; distant; doubts; employ; entity; evaluated; evidence; explore; facilities; facility; fears; federal; file; final; financial; formal; frequently; fringe; fulfill; gap; generally; healthcare; higher; hospital; hospital-based; illegal; implicated; includes; increase; indirect; informed; intended; investors; joint-venture; law; lawyer; legal; licensing; located; long; main; make; making; manage; management; medical; meet; non-physician; obtain; operating; opinion; order; outpatient; patient; pay; payers; payment; pays; percent; personnel; physician; physician-investors; policies; present; procedures; program; prohibits; prove; pursue; qualify; questions; radius; rates; re-characterize; reaction; received; recommended; referrals; referring; refused; regulation; regulatory; reimbursement; request; required; resolve; responsibility; restructured; risk; satisfies; self-referral; serve; short; site; sites; specialize; staff; starts; state; statute; step; structure; surgeries; surgical; understand; unveils; violates; wide; yards

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