AHLA Ambulatory Surgery Centers: Legal and Regulatory Issues (AHLA Members)
Ambulatory Surgery Centers: Legal and Regulatory Issues addresses the unique nature of ASCs, emphasizing their physical and organizational separation from other providers.
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The Sixth Edition of Ambulatory Surgery Centers: Legal and Regulatory Issues addresses the unique nature of ASCs, emphasizing their physical and organizational separation from other providers, regardless of whether they are owned by a hospital, a physician practice, or other entity. In this edition, the authors address the history behind the development of ambulatory surgery centers (ASCs) and their rapid growth since Medicare approved payments to them in 1982. Today there are more than 6,000 ASCs operating in this country.
All health attorneys and others in the health care field who need to understand the unique nature of ASCs should welcome the unparalleled guidance provided here by leading experts in the field.
The authors adeptly explore:
- Physical and organizational differences between ASCs and other providers
- Trends and tensions facing ASCs — such as conflicts between ASCs, hospitals, and physicians
- Federal and state fraud and abuse laws and their implications
- Analysis of ASC reimbursement
- All new chapter on compliance, with downloadable revised and updated compliance plan
The title includes a sample compliance plan for ASC, and an operating agreement, among other exhibits. The exhibits are available for download to both print and eBook purchasers.
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Published August, 2019.
Table of contents
Chapter 1 Introduction and Background
Chapter 2 Anti-Kickback and Self-Referral Issues
Chapter 3 Tax-Exempt Status and Tax-Related Issues
Chapter 4 State Self-Referral Issues
Chapter 5 Reimbursement
Chapter 6 Medicare Certification, Licensing, and CON Issues for ASCs
Chapter 7 Antitrust Considerations Affecting ASCs
Chapter 8 Compliance
Exhibit 1 ASC Safe-Harbor Regulations of the Anti-Kickback Statute
Exhibit 2 Sample Compliance Plan
Exhibit 3 Sample Operating Agreement
Exhibit 4 Sample Policy for Antitrust Compliance Index