What's New In  |   August 2013
Office-Based Anesthesia: Preparing for Tomorrow
Author Affiliations
  • Girish P. Joshi, M.D., M.B.B.S., FFARCSI
    Committee on Ambulatory Surgical Care
  • Meena S. Desai, M.D.
    Committee on Ambulatory Surgical Care
Article Information
Ambulatory Anesthesia / Obstetric Anesthesia / Pain Medicine / Patient Safety / Practice Management / What's New In
What's New In   |   August 2013
Office-Based Anesthesia: Preparing for Tomorrow
ASA Monitor 08 2013, Vol.77, 64-66.
ASA Monitor 08 2013, Vol.77, 64-66.
Over the past decade there has been a significant growth in office-based procedures.1  Concurrently, office-based anesthesia (OBA) practice has grown rapidly. Economic forces are the primary factors driving office-based surgery (OBS) and OBA practices. The benefits of OBS/OBA practices are well described and include patient convenience, comfort and cost efficiency. The procedures performed in offices burden the healthcare system less because offices do not receive facility fees, although the physician fees are slightly enhanced. Thus, it is not surprising that the Centers for Medicare & Medicaid Services (CMS) has gradually increased the number of office-based procedures that would be covered for its beneficiaries, as well as liberalized the procedure and recovery period time constraints. Third-party payers have accepted the definitions and regulations of CMS. Thus, there has been a significant enhancement of procedures that are covered in the office setting. However, a current sampling of administrative and clinical listserves show no new additions by CMS, to the site of service differentials, to encourage the movement of procedures that may be performed in the office setting.
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