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  2. Dr. Cotter acknowledged that there is a potential attraction to office-based surgery (OBS) for some cataract surgeons. OBS offers greater flexibility for the surgeon in many localities and ownership opportunities in ASCs are often complicated by onerous certificate of need laws and expensive buy-ins, he explained.

  3. Dec 10, 2021 · Surgeons who are performing office-based cataract procedures say they’re better for several reasons, but many physicians are still skeptical. Office-based cataract surgery offers several benefits over procedures performed in an ambulatory surgery center, and some surgeons believe this practice will become more common in the next few years.

  4. Some surgeons cur­rently performing office-based cataract surgery can afford to do so by only doing premium IOL cases.” Upsides of MPRs. This could change if CMS were to fully reimburse the costs for in-office cataract surgery.

  5. Aug 10, 2023 · Ophthalmologists discuss the pros and cons of office-based surgery suites. Office-based cataract surgery continues to gain popularity and proponents say it offers some benefits over procedures performed in ambulatory surgery centers; however, safety concerns remain. According to Lance Kugler, MD, who is in practice in Omaha, Nebraska, office ...

    • It’s safe and effective. When it comes to performing a medical procedure, safety is the number one concern for both patients and surgeons. Fifty years ago, cataract surgeries were performed exclusively in hospitals.
    • Highest safety standards. OBS suites are regulated in all 50 states and operate under the physician’s license governed by the individual state board of medicine using either Class A (oral sedation, such as diazepam) or Class B (monitored) anesthesia.
    • Freedom to perform surgery when & where you want. Many ophthalmologists lack the control they deserve and the revenue they could earn because they perform surgical procedures outside of their clinic.
  6. May 8, 2024 · In the case of OBS, the location is typically a suite located within the treating physician’s office, where procedures such as cataract surgery, refractive lens exchange, oculoplastic procedures, and even minor glaucoma and retina surgeries can be performed utilizing minimal to moderate anesthesia.

  7. The evolution of OBS closely mirrors the transition from hospital-based surgery to ASC-based surgery. Today, 2.5% of cataract surgeries are performed in OBS suites 2 , and this number is growing, according to a survey conducted by iOR Partners. 66% of surgeons will likely incorporate OBS in the next 1-5 years.

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