The shift in volume to ambulatory surgery centers will put pressure on outpatient hospital revenue, but the type of patients moving to ASCs is likely to be the bigger issue.
This rule places decisions about supervision in the control of hospitals and physicians involved in patient care and will make the delivery of hospital outpatient services more efficient.
Misunderstandings created by years of variable-quality audits have caused hospitals to be so cautious they are misapplying CMS guidance and forgoing revenue.