From: Scott Becker <>
Subject: [Becker's ASC E-Weekly] 5 Questions Relating to Selling or Joint-Venturing an ASC | Fewer Than 60 Spots Left for Fall ASC Conference -- Register Today | Gain Practical Guidance You Can Use Immediately | OIG Issues Negative Opinion on Radiation Therapy Block Leasing |
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September 16, 2008
Latest News & Analysis

1. Answers to Five Questions Relating to Joint-Ventures and Selling Part of an ASC. Click Here button

2. Radiation Therapy Block Leasing Arrangement Could Violate Anti-Kickback Statute, OIG Advisory Opinion Says. Click Here button

3. Hospital Loses Property-Tax Exemption; Court Has Strong Words About "Charity." Click Here button

4. Average Charge and Payment Data for 4 Spine/Pain Management Procedures Commonly Performed in ASCs. Click Here button

5. Choose from 75 great topics focusing on immediately applicable ways to improve profits in your ASC as well as practical guidance on business and legal issues. Register for the fall ASC conference, Oct. 23 to 25 in Chicago: Click Here button

6. RM Crowe Acquires Terrace Park Professional Center in Iowa. Click Here button

7. Stryker Sues DOJ Over Subpoenas. Click Here button

8. Amkai Presents: How Comprehensive Information Management Boosts Performance. Learn more: Click Here button

9. California Bill Would Let ASCs Purchase Drugs Wholesale. Click Here button

10. 2 ASC Industry/Healthcare Trade Association Lawyers to Know -- Ronald Wisor Jr. and Eric Zimmerman. Click Here button

11. National ASC Open House Day Connects Organizations With Their Communities. Click Here button
Average Charge and Payment Data for 3 Lower-GI Procedures Commonly Performed in ASCs

Here is the average 2007 Medicare sub charge (submitted charges divided by allowed services), average allow charge (Medicare-allowed charges divided by allowed services, including co-pays and deductibles paid by patient), and average payment (Medicare payments divided by allowed services, not including co-pays and deductibles paid by patient) for three lower-GI procedures commonly performed in ASCs.

1. Scope of colon thru ostomy for diagnosis (CPT 44388)
- average sub charge: $1,203
- average allow charge $323
- average payment: $253

2. Scope of colon with biopsy thru ostomy (CPT 44389)
- average sub charge: $1,338
- average allow charge $308
- average payment: $240

3. Scope of sigmoid colon only with biopsy (CPT 45331)
- average sub charge: $945
- average allow charge $287
- average payment: $225

For the complete list of charge and payment data provided by Medicare for seven lower-GI procedures, click here.
Can an ASC Borrow Equipment From a Hospital?

I manage a joint freestanding surgery center that is majority owned by an acute-care facility. I have been told that borrowing equipment from the hospital could be considered a potential anti-kickback compliance issue. Many facilities in the area loan and borrow without a fee. Can you provide insight on this topic?

-- Name withheld

Scott Becker, JD, CPA: The answer depends on whether the borrowing of equipment is incidental and occurs once in a great while or whether it is being used as a purposeful way to impart financial benefit from one party to the other. If done once in a great while, aside from sterility issues, etc., I wouldn't worry too much about violating the Anti-Kickback Statute. However, if the borrowing of equipment is a regular practice, it would bear more discussion and likely a formal agreement at fair market value to ensure compliance.
Fewer Than 60 Registration Spots Left for
Fall ASC Conference Oct. 23-25 -- Register Today!

15th Annual Improving Profits and Business and Legal Issues for ASCs
Presented by ASC Communications and the Ambulatory Surgery Foundation
Sheraton Hotel and Towers, Chicago
Oct. 23 to 25

We have added rooms to our block, but it is again nearly sold out. Book your hotel ASAP. The Sheraton Hotel and Towers has set aside special group rates for conference attendees. Please contact the hotel directly to make your reservation. Be sure to mention you are attending the ASC Conference in order to receive the discounted group rate.

To make a reservation, go to, or call (800) 325-3535 or (312) 464-1000.

Group room rates:
Standard - $289 (single) or $319 (double)
Club Rooms - $364 (single) or $394 (double)

Here are five great examples of topics on the program agenda:

1. Developing an ASC Managed-Care Contracting Plan and Strategy With Your Partnership -- Matt Kilton, COO, Eveia Health Consulting and Management

2. Which Back-Office Services Can you Effectively Outsource? -- What Works; What Doesn't Work -- What Are the Costs and Benefits? -- Steve Dobias, Principal, Somerset CPAs; Tom Jacobs, President and CEO, MedHQ

3. Buyer's Perspective on Selling Your ASC -- What an ASC Needs to Know Going In -- Evie Miller, Director of Acquisitions, United Surgical Partners

4. Practical Case Costing and Benchmarking for ASCs -- Strategies and Ideas You Can Use Monday Morning - Alsie Sydness-Fitzgerald, RN, Chairperson, ASC Association

5. Orthopedics in ASCs -- What Works and What Doesn't From a Business and Clinical Perspective -- John Cherf, MD, Dept. of Orthopedics, Neurological & Orthopedic Hospital of Chicago

To see the entire agenda, download the conference brochure (PDF).

There are four ways to register:

1. Fill out and mail or fax the registration form in the conference brochure.
2. Call (703) 836-5904 or (800) 417-2035.
3. Register online by clicking here.
4. E-mail

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

Thank You to 9 Great Companies

1. Practice Partners. Practice Partners in Healthcare takes great pride in the development, management and equity ownership with its physician and hospital partners. The company is a founding sponsor of Becker's Orthopedics and Spine Review and will exhibit at the Oct. ASC conference. Read more about Practice Partners.

2. Meridian Surgical Partners. Meridian aligns with physicians in the acquisition, development and management of multi-specialty ASCs and surgical facilities. Thank you for your continued support. Read more about Meridian.

3. Amkai. Amkai is a software company with 20-plus years of experience delivering administrative and clinical solutions to ASCs, surgical hospitals and physician practices. The company is a silver sponsor of the Oct. ASC conference and has started a run of ads in the Becker's ASC E-Weekly. Read more about Amkai.

4. Affiliated Credit Services. Affiliated Credit Services is a Colo.-based professional account receivables management firm which focuses on increasing businesses cash flow by providing superior collection services. The company is a founding sponsor of The Hospital Review. Read more about Affiliated Credit.

5. Physicians Endoscopy. Physicians Endoscopy develops and manages endoscopic ambulatory surgery centers in partnership with practicing GI physicians and hospitals. The company has signed on for a full year in The Hospital Review. Read more about Physicians Endoscopy.

6. NovaMed. NovaMed acquires, develops and operates ambulatory surgery centersin partnership with physicians. The company is sponsoring the Friday morning networking break at the Oct. ASC conference. Learn more about NovaMed.

7. Somnia. Somnia is a leading provider of anesthesia services to hospitals, ASCs and office-based surgical facilities nationwide. The company is a founding sponsor of The Hospital Review. Read more about Somnia.

8. ASCs Inc. ASCs Inc. helps physician-owners of ASCs form strategic relationships with leading ASC management companies and hospitals, and also represents physician-owners of ASCs and medical office building real estate. The company has signed up for all nine issues in 2009. Learn more about ASCs Inc.

9. MediGain. MediGain helps healthcare providers to preserve profitability with improved and low cost back-office processes. The company's ads will soon be appearing in the Becker's ASC E-Weekly. Read more about MediGain.

Two Great Accreditation Organizations
to Know

The Accreditation Association for Ambulatory Health Care. AAAHC, founded in 1979, has become a leader in ambulatory health care accreditation with more than 3,800 organizations accredited nationwide. Read more about AAAHC.

The Joint Commission: Ambulatory Care Accreditation Program. The Joint Commission has been accrediting ambulatory surgery facilities since 1975, and has more than 1,600 ambulatory organizations accredited nationwide. Learn more about the Joint Commission.

Upcoming ASC Events
15th Improving Profitability, and Business and Legal Issues for ASCs
Oct. 23 to 25, 2008

The 7th Annual Orthopedics-, Pain Management- and Spine-Driven ASC Conference
June 11 to 13, 2009

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 Erdman (A Cogdell Spencer Company)
  • Click here to visit HealthCare Appraisers.
  • Click here to visit Meridian Surgical Partners.
  • Click here to visit Practice Partners in Healthcare.
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