NY ASC at risk of losing operation certificate for inadequate Medicaid, charity care

Surgicare of Manhattan in New York is applying for a two-year extension of its five-year limited life approval, which would include a two-year extension of its operating certificate. But, the New York Public Health and Health Planning Council could deny the application based on the surgery center’s lagging number of charity and Medicaid cases, according to a Lexology report. 

Advertisement

ASCs operating under limited life certificates are required to provide and document charity care and care to Medicaid patients, but the amount of care is not specified. Rather, when submitting an application for an operating certificate, ASCs must provide an estimation of the amount of charity and Medicaid care expected, according to the report.

The council granted Surgicare of Manhattan initial approval for a limited life certificate in 2010. The surgery center estimated 4 percent of its procedures would be Medicaid and charity care cases, but the New York Department of Health found 1.5 percent of its cases were charity care and 0.03 percent of its cases were Medicaid cases in 2014. The center generated approximately $8 million in net income between 2013 and 2014, according to the report.

A number of the Public Health and Planning Council members have argued for ruling against approval of the ASC’s request for an extension.

More articles on transactions and valuation issues:
ASC owners ready to sell: Are you putting yourselves at risk?
100 new outpatient surgery centers in 2015
Virginia’s CON program could come to an end: 3 things to know  

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

Advertisement

Next Up in ASC Transactions & Valuation Issues

Advertisement

Comments are closed.