Frequently Asked Questions
General Office-Based Surgery FAQs
Office-based surgery is any surgical or invasive procedure performed by a licensed physician in a location other than a hospital or ambulatory surgery center. These procedures are typically performed in a suite located within the physician's office.
The OBS operates at the same safety standard of care and is accredited by the same national organizations as an ASC or hospital.
Common ophthalmic OBS procedures include basic cataract surgery, refractive cataract surgery, refractive lens exchange, ICL, various oculoplastics, and other lens-based procedures.
Other specialties that commonly perform procedures in an OBS include gastroenterology, otolaryngology, dermatology, cardiology, and maxillofacial surgery.
Office-based surgery provides safe and effective outcomes that are comparable to those performed in an ASC while also streamlining patient care. The largest U.S. retrospective study (Office-Based Cataract Surgery: Population Health Outcomes Study) of 21,501 cataract surgeries (13,507 patients, age 72.6 ±9.6 years) conducted in the Denver metropolitan area Kaiser office from 2011-2014 found that OBS efficacy outcomes were consistently excellent, with a safety profile expected of minimally invasive cataract procedures performed in ASCs and HOPDs. – Read White Paper on Patient Outcomes.
We have collected data on over 18,000 procedures performed in iOR facilities, and our safety profile is consistently as good (or better) than that in the Kaiser study.
There are two anesthesia options for ophthalmic OBS - Class A and Class B. Class A utilizes oral and local topical anesthetics and Class B utilizes monitored anesthesia requiring an anesthesia provider and RN to be present. Most OBS cases are done under Class A level anesthesia and don’t require any additional patient monitoring or staff. Patient can eat and drink immediately before surgery in Class A.
Yes, all 50 states allow for OBS. Typically, CON laws have no effect on office-based surgery.
Space needed within the office for a surgical suite runs between 750 square feet (1 OR) to 1250 square feet (2 ORs).
The LASIK suite can usually be converted to a surgical suite in most offices.
Yes, but it may impact reimbursement.
Insurance & Reimbursement FAQs
Third-party payors (insurance companies) typically reimburse for procedures performed in an office-based surgery suite.
Many commercial, Medicare Advantage, or Medicare plans.
The Professional Fee is unaffected by the location of surgery so they will continue to receive their standard reimbursement in the OBS.
Typically, OBS reimbursements are similar to an ASC facility fee and are in addition to your professional fee.
Usually, it does not have an impact, but you will need to confirm with your malpractice carrier.
iOR Partners FAQs
We work with each client to understand their specific needs and develop a customized office-based surgery program. Terms of the agreement vary based on volume, equipment, and other factors.
No. We only collect a fee per case, regardless of the amount of revenue brought in from the case.
The per-case fee covers space design, equipment procurement, revenue cycle management, inventory management, compliance services including licensure and accreditation, surgical staff training, and ongoing support throughout the term of the agreement.
Yes, either by The Joint Commission or AAAASF accreditation.
Almost every OBS suite utilizes the current clinic staff as the Scrub, Circulator and Sterilizer. iOR Partners trains all surgical staff to current standard competencies.
Yes. This is a major advantage of working with iOR. We have national account status with all the major ophthalmic vendors.
With iOR’s unparalleled expertise and leadership in the ophthalmology surgical field, you are free to focus on surgery. After your iOR suite is up and running, we offer continued support including:
- Governing Body Structure & Compliance
- Accreditation & Compliance
- Supply Ordering
- Peer review
- Infection control
- Third-party payor negotiations
- Billing and collections
- Staff support