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, otolargyngology, dermatology, cardiology and maxillofacial surgery.   

Of primary importance, 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.  

In over 5000 procedures performed in iOR facilities, our safety profile is consistently as good or better as those 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

iOR Partners provides the surgeon with a turnkey solution for setting up an office-based surgery suite with a single fee per case, with no out-of-pocket cost to the surgeon. You only pay an all-inclusive per-surgery fee and you retain complete ownership of all equipment, with no further financial obligation at the end of the agreement.

Agreements start at 48 months, after which you own all equipment, with no further obligation.

Case fees vary depending on surgical case volume.

No. We only collect a single fee per case, regardless of the amount of revenue brought in from the case.  

The per case fee covers surgical equipment, all case supplies, compliance, policy & procedures, surgical staff training, peer review, quality assurance (QA) and performance improvement (PI), accreditation and updates on changes in regulations. At the end of the contract, the practice will own all equipment purchased by iOR Partners.

To qualify for an iOR Suite, the surgeon should average 30+ cataract procedures per month.

Yes, either by The Joint Commission, AAAHC 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:

  • Lens-Based Refractive Surgery (LBRS) Program
  • Governing Body Structure & Compliance
  • Accreditation & Compliance
  • Supply Ordering
  • Marketing Support
  • Peer review
  • Infection control
  • QAPI
  • Third-party payor negotiations

When you partner with iOR, you gain the combined expertise of Daniel Durrie, MD and Paul Karpecki, OD to help grow your refractive business. A carefully planned patient experience will result in more premium upgrades and more referrals. Our LBRS Team will work with you and your staff to make your practice the gold standard in refractive procedures in your area.