From: Scott Becker <>
Subject: [Becker's ASC E-Weekly] 18 Stories From July/Aug. Issue Now Online: 18 New Articles Posted at; 127 People to Know in the ASC Industry; Business Issues and Procedures to Add in ENT, Ophthalmology and Urology; Recent Attacks on Out-of-Network Practices; 4 Benchmarking Case Studies
New Masthead
Becker's ASC Home | Subscribe to ASC Review | Current Issue | E-weekly Archives | Advertise
July 15, 2008
Latest News & Analysis

1. Meeting the Current Business Challenges in Ophthalmology. Click Here button

2. Merging Two Centers -- Can It Solve Certain Problems? Click Here button

3. Expert Guidance to Help You Capitalize on New Urology Opportunities. Click Here button

4. Should You Add These Complex Urology Procedures? Click Here button

5. Prostate Brachytherapy: 2008 Coding Changes. Click Here button

6. Four Steps to Profitable Retina. Click Here button

7. Per-Click and Ophthalmologist/Vendor Payment Agreements. Click Here button

8. 12 Reasons to Consider Cataract Outsourcing Services as an Option for Providing Cataract Surgery. Click Here button

9. 127 People to Know in the ASC Industry. Click Here button

10. Key Benchmarking Statistics of the Month. Click Here button

11. Five Current Business and Clinical Issues for ENT in ASCs. Click Here button

12. Follow Example Operative Note to Help Code Common ENT Procedure Correctly. Click Here button

13. Recent Attacks on Out-of-Network Practices Highlight the Need for Careful Assessment of Efforts. Click Here button

14. 4 Case Studies: How You Can Use Benchmarking to Improve Practice. Click Here button

15. What's New for Ophthalmology Surgery. Click Here button

16. 3 Urology Products to Know. Click Here button

17. 5 Products for ENT Surgery. Click Here button

18. Q&A With Joint Commission's Michael Kulczycki. Click Here button
Cost to Build an ASC: Average Figures

Usually running about $1 million per OR, a small, single-specialty center with two surgical suites ranges from $2 million to $3 million, with larger-multispecialty ASCs costing $4 million to $8 million.

Typically, the majority of the costs associated with development, including the tenant improvements and surgical equipment, may be leveraged with debt. The need for equity is isolated to working capital -- typically four to eight months' operating expenses totaling $1 million to $1.5 million. The investment ranges from $10,000 to $15,000 for a 1 percent interest in the partnership plus assumption of pro-rata debt dependent on debt structure.

These figures are courtesy Meridian Surgical Partners. Learn more about Meridian. For more on construction issues for ASC, be sure to see the upcoming Sept./Oct. issue of the ASC Review.

How Do You Recruit Physicians to Your ASC?

What is the most effective step you have taken to recruit and retain physicians for practicing at your ASC? What is your best advice for recruiting physicians to buy into your ASC?

E-mail your thoughts to this question to Rob Kurtz at Be sure to include your name, title and business name. Shortly, we will publish a selection of the responses we receive and choose one response as our "featured answer."

Surgical Notes --
Want to Enhance Your ASC's Profitability? Register Now for Fall ASC Conference; Subscribe and Save

ASC Communications and the Ambulatory Surgery Foundation are proud to present the 15th Annual Improving Profitability and Business, Legal and Strategic Issues for ASCs. This exciting conference takes place Oct. 23 to 25 at the Sheraton Hotel and Towers in Chicago.

Just a few of the features:

▪ 75 great topics focused on big strategic ideas and practice business and legal guidance;

▪ attendees can earn up to 13.5 CME credits, 13.5 CASC credits and 13.3 CEU credits;

▪ More than 100 top speakers; and

▪ keynote presentation on the next five years of healthcare by Uwe Reinhardt of Princeton University.

For more information, click here.

To register, call (703) 836-5904 or (800) 417-2035; e-mail or visit Registration discounts available for multiple attendees, Becker's ASC Review subscribers and ASC Association members.

RMC Medston start 0508
Becker's ASC Review Subscriber Benefits

Don't miss the Sept./Oct. issue of the Becker's ASC Review. Here's what we have on tap:

  1. 45 Things to Know About ASCs
  2. CMS and Third-Party Payor Issues
  3. Building and Constructing an ASC
  4. ASC Real Estate: What Every ASC Should Know
  5. 25 Great Physician Leaders
  6. Steps to Improving Case-Costing
The November/December issue will focus on:
  1. Information Technology for ASCs
  2. Turnaround ASCs
If you are a Becker's ASC Review subscriber, you are entitled to the following benefits: 1. Becker's ASC Review delivered to your door; 2. subscriber discounts on the audio conference registrations; 3. $100 off registration for the June conference; 4. $50 off registration for both the October conference; and 5. a free copy of the VMG Health Intellimarker benchmarking survey.

To subscribe to the Becker's ASC Review go to

*           *           *
Contact us toll-free: (800) 417-2035

10 Great Companies

1. Orion Medical Services. Orion Medical Services offers a turnkey approach to ASC development and management by covering all aspects of a project from financial feasibility analysis to site and operational development. Read more about Orion.

2. Surgical Management Professionals. With a seasoned team of healthcare professionals, SMP specializes in the management and development of ASCs and surgical specialty hospitals. Learn more about SMP.

3. Mednet. Mednet is a software technology company, led by a group of professionals from the ASC market that understand the core of your business practice and its unique requirements. Read more about Mednet.

4. NovaMed. NovaMed acquires, develops and operates ASCs in partnership with physicians. Learn more about NovaMed.

5. National Medical Billing Services. National Medical Billing Services specializes in freestanding outpatient surgery center coding and billing. Read more about NMBS.

6. Nueterra Healthcare. Nueterra Healthcare partners with physicians and hospitals to develop and manage community hospitals, surgical hospitals, ASCs and physical therapy centers including new development, joint-ventures, acquisitions and turnarounds. Learn more about Nueterra.

7. Marasco & Associates. Marasco & Associates is a national architecture and consulting firm, dedicated to providing quality facility design and development assistance for outpatient medical facilities, private physician groups, hospitals and institutional clients. Read more about Marasco & Associates.

8. B. Braun. For 150 years, B. Braun has developed a rich heritage of knowledge and expertise for delivering innovative healthcare products, medical devices and programs designed to improve both patient and health-professional safety. Learn more about B. Braun.

9. Medical Facilities Corporation. Medical Facilities Corporation is a publicly traded company and a leading acquirer of majority interests in high quality specialty hospitals and ASCs. Read more about MFC.

10. RMC Medstone. In addition to fine tuning your operations, the MedStone team will restructure debt and seek out innovative financing solutions to your daily needs resulting in more efficient cash flow. Learn more about RMC MedStone.

Upcoming ASC Events
ASC Transactions: Successful Strategies for Mergers, Acquisitions, Divestitures and Restructuring
July 24, 2008
Audio Conference

ASC Benchmarking and Case Costing
Aug. 6, 2006
Audio Conference

Physician/Hospital Integration Efforts
Sept. 25, 2006
Audio Conference

15th Improving Profitability, and Business, Strategic, Clinical and Legal Issues for ASCs
Oct. 23 to 25, 2008

For a complete list of upcoming events, click here
Quick Links
  • Click here to visit VMG Health for valuation needs
  • Click here to visit National Surgical Care
  • Click here to visit Serbin Surgery Center Billing
  • Click here to visit Marshall Erdman
    & Associates

  • Editorial Contacts
    For more information about print and online stories, please contact editorial.

    Stephanie Wasek
    (484) 866-1292
    e-mail Stephanie

    Rob Kurtz
    Director of Communications
    (410) 874-7681
    e-mail Rob
    Join Our Mailing List
    Safe Unsubscribe
    This email was sent to by
    Beckers ASC | 77 W. Wacker Dr. Suite 4100 | Chicago | IL | 60601