Ambulatory Surgery Center and Regulatory Services

MMA's regulatory services, related to the development of an ambulatory surgery center ("ASC"), provide our clients with the expertise to navigate the complex regulatory requirements necessary to obtain certificate of need ("CON") approval, state licensure and Medicare certification. CON approval or an exemption is typically required prior to obtaining licensure, Medicare certification and accreditation. Forty-three states require state licensure for ASCs. Many states require accreditation for office-based surgery suites. They, also, specify the criteria that ASCs must meet for licensure.

The regulatory services provided by MMA include:

• Preparation of required documentation to obtain approval under state certificate of need regulations or obtain an exemption, as applicable.
• Preparation of all policy and procedure manuals for the ASC to ensure compliance with the highest level of standards based on accreditation, licensure and/or Medicare certification.
• Preparation of all application materials related to accreditation, state licensure and Medicare certification.
• Coordination and scheduling of the surveys including participation and follow-up, as necessary.
• Preparation of governance materials, as required to meet the appropriate standards, including medical staff by-laws, etc.

Other services related to the development of an ASC may include:

• Assessment of the financial feasibility and preparation of loan request package for presentation for financing.
• Recommendations pertaining to the appropriate organizational structure
• Programming of space to include required elements, i.e., clean and soiled areas, etc.
• Preparation of schematic design of the interior space. - See Facility Design
• Operational Management services including business systems, third party reimbursement, managed care contracting, etc.
• Equipment planning including line item budget, equipment specifications, coordination with equipment vendors, etc.

Ambulatory Surgery Center Portfolio