Ambulatory Surgical Centers

The regulatory landscape facing ambulatory surgical centers (ASCs) can be daunting. Both federal and state anti-kickback statutes must be considered when forming business plans and choosing investors. In certain circumstances, where ASCs provide designated health services which are billed separately to Medicare, they must also take into account the Stark regulations. In addition, ASCs need to stay abreast of compliance issues, HIPAA requirements and other health care regulations. Our attorneys understand the unique needs of ASCs, and combined with our expertise in compliance, fraud and abuse and HIPAA laws, we can help ASCs with the many challenges they face.

Our health care attorneys understand the business and regulatory issues facing ASCs and have experience advising ASCs in the following types of matters:

  • Compliance programs

  • HIPAA compliance

  • Marketing issues

  • Compliance with anti-kickback safe harbors

  • Relationships with hospitals

  • Out of network billing issues including issues related to discounts and waivers of copayments and other cost-sharing amounts

  • Contract and lease issues

  • Employee and patient issues

  • Audit defense

  • Assistance with enrollment

  • Conditions of participation and billing issues

  • Reimbursement challenges