Correct Answers
historyAandAadventAofAASCsA-
AAnswerATheAfirstAASCAwasAopenedAinA1970AbyAaAgroupAofAanesthesiologistsA
inAPhoenix,AAZ.A
TheAanesthesiologistsAwereAfrustratedAbecauseAofA
•AschedulingAdelays
•AlimitedAoperatingAroomAavailability
•AinterruptionsAcausedAbyAemergencyAcases
•ApoliciesAandAproceduresAofAtheAhospitals.A
AslowA"turnover"
•AdepartmentAbudgets
AdvantagesAofAanAASCAcomparedAtoAaAhospitalA-AAnswerALessAexpensive
lowerAnosocomialAinfectionArate
IncreasedAproductivity
GreaterAconvenience
conceptAofAminimallyAinvasiveAsurgeryA-
AAnswerASurgeonAmakesAsmallAincisionsAandAinsertsAtubesAcalledAtrocars.ACar
bonAdioxideAgasAcanAbeAusedAtoAinflateAtheAareaAwhichAallowsAforAspaceAtoA
performAtheAprocedure.AAAcameraAisAinsertedAintoAanAopeningAandAtheAvideoA
isAviewedAonAaAmonitorAcloseAby.ASpecialAinstrumentsAplacedAintoAtheAotherAo
peningsAtoAperformAtheAprocedure.
TypesAofAscopeAbasedAproceduresA-AAnswerA•AArthroscopy
•ALaparoscopy
•AEndoscopy
•ALaryngoscopy
, •ACystoscopy
•APhacoemulsification
WhatAareAASCsA-AAnswerAAmbulatoryA=AOutpatientA
ASCsAareAnotAruralAhealthAclinics,AurgentAcareAproviders,AorAambulatoryAcareA
centers.A
ASCsAsee:A
•ANon-emergentAcasesA
•AAlmostAeveryAspecialtyAexceptAcardioAandAneurology
StarkALawA-AAnswerAStarkALawA(self-referralAlaw)A-
AprohibitsAaAreferralAofAaAMedicare/MedicaidApatientAtoAanAentityAaAphysicia
nAorAaAphysician'sAfamilyAmemberAhasAaAfinancialAinterestAinAforAanyAofA12A
designatedAhealthAservices.AASCAisANOTAconsideredAoneAofAtheA12AdesignatedA
healthAservices
FederalAAnti-KickbackALawA-
AAnswerAprohibitAtheAoffering,Areceiving,Apaying,AsolicitingAanyAremunerationA
inAexchangeAforAtheAreferralAofAMedicare/MedicaidApatients
ExceptionsAtoAAnti-
KickbackALawAcalledA"safeAharbors"AASCA"safeAharbor"AcriteriaA(mustAmeetAal
lA3):A-
AAnswerA1.ABeAinAaApositionAtoAreferApatientsAdirectlyAtoAASCAandAperformAs
urgeryAonAsuchAreferredApatientsA
2.ADeriveA1/3AofAmedicalApracticeAincomeAfromAproceduresAperformedAatAanAA
SCA
3.APerformAatAleastA1/3AofAtheAproceduresAthatAmayAbeAperformedAinAanAAS
CAsettingAatAtheAinvestmentAentityAASC
AAAHCA-AAnswerAAccreditationAAssociationAforAAmbulatoryAHealthACare
TJCA-AAnswerATheAJointACommission