Once limited to hospital inpatient settings, total joint surgery is increasingly common at ambulatory surgery centers (ASCs) across the US. What is not so common is performing these complex procedures without the benefit of an onsite sterile processing department (SPD). And yet, that is exactly what we have accomplished at…

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Editor's Note Poor planning and rushed decisions derail too many ambulatory surgery centers (ASCs) before they open their doors. In a recent blog post, ASC consultant Emily Spooner outlined the top five errors commonly made during ASC development, offering targeted guidance on how to avoid them. According to the post,…

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For an ambulatory surgery center (ASC), earning accreditation can be more than a mark of excellence. The Accreditation Association for Ambulatory Health Care (AAAHC) offers Medicare Deemed Status Accreditation, eliminating the need for separate surveys to certify compliance with the Conditions of Participation (CoPs) required by the Centers for Medicare…

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Editor’s Note: This page is a companion piece to the main article, How ASCs ace the AAAHC accreditation survey. The posts below cover the latest version of the handbook from the Accreditation Association for Ambulatory Health Care (AAAHC) and advice on delineation of privileges.  Navigating the new handbook The latest…

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In July 2025, the Centers for Medicare & Medicaid Services (CMS) proposed sweeping changes to the Medicare Physician Fee Schedule for calendar year 2026. Among the most impactful updates is the launch of the Ambulatory Specialty Model (ASM)—a mandatory value-based payment program focused on heart failure and low back pain.…

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Running an ambulatory surgery center (ASC) is not for the faint of heart. ASC leaders are navigating tight margins, stricter-than-ever quality reporting, lean staffing resources, payer squeeze, and a relentless push to be profitable without proper support. And yet, the ASC market is booming. The number of Medicare-certified ASCs has…

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Editor's Note As we begin National Ambulatory Surgery Center (ASC) Month, we’ve been reflecting on all OR Manager has to offer this critical subset of our audience—and all that is yet to come.   First, why celebrate ASCs, and how to get involved? According to the Ambulatory Surgery Center Association…

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Editor's Note Regular check-ins and visible leadership can help ambulatory surgery centers (ASCs) head off legal trouble before it starts. That is the central message from employment attorney Salvatore Puccio on a recent episode of the Advancing Surgical Care Podcast, Ambulatory Surgery Center News July 23 reports. Puccio, a partner…

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Editor's Note A “quiet transformation” in how Medicare pays doctors could reduce payments for specialty care, including rates for billing codes associated with surgery, diagnostic imaging, outpatient care, pain management, and orthopedics, Modern Healthcare reported July 22. According to the article, The Centers for Medicare and Medicaid Services (CMS)’ 2026…

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Editor's Note CMS is boosting 2026 Medicare outpatient payments by 2.4%, but provider groups warn the increase barely scratches the surface of mounting financial strain. Alongside the payment bump, the agency is proposing a two-track physician reimbursement model that ties rates to value-based care participation. While some see these moves…

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