“It’s a sophisticated shop to run,” says Marc Toth, chief executive officer of ACA Cardiovascular, Incline Village, Nevada, which has set up several hybrid OBL/ASC facilities throughout the United States and plans to add more. Hybrid OBL/ASCs must comply with Medicare’s specific requirements, get proper certification, and gird themselves for any hospital competitors posing a challenge to their business under state Certificate of Need (CON) laws. And an outpatient facility offers greater comfort and convenience for patients.īut setting up these facilities is no easy task. “It’s a lot less expensive to have a physician perform a proper cardiology surgery case in an outpatient setting than in a hospital, which is under more regulatory controls than an office,” Zasa says.
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