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5th Edition
ISBN: 9780769899794
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5th Edition
ISBN: 9780769899817
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5th Edition
ISBN: 9780769899817
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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 newly-revised and updated 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 5,900 ASCs operating in this country.

This newly revised and updated edition of an established bestseller provides background on the development of ambulatory surgery centers (ASCs); their rapid growth since Medicare approved payments to them in 1982; and current issues facing ASCs operating in the United States.

All health attorneys and others in the health care field who need to understand the often 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
•   The nature of ASC reimbursement including the effects of the transition to tie ASC rates to hospital outpatient department rates

The title includes annotated sample forms, including a compliance plan for ASCs, and an operating agreement, among others.

The eBook versions of this title feature links to Lexis Advance for further legal research options.

Authors / Contributors

Table of Contents



Preface

About the Authors

Acknowlegements

1   Overview

2   Anti-Kickback and Self-Referral Issues

3   Tax Exemption and Tax-Related Issues

4   State Self-Referral Issues

5   Reimbursement

6   Medicare Certification, Licensing, and CON Issues for ASCs

7   Antitrust Considerations Affecting ASCs

Exhibit 1

Exhibit 2

Exhibit 3

Exhibit 4

Index