What is the Departments position on patients being allowed to stay in an Ambulatory Surgical Center up to 23 hours?
State Operations Manual 2210 states the entity operates exclusively for the purpose of providing surgical services to patients not requiring hospitalization. It further states that the Ambulatory Surgical Center (ASC) may not perform surgical procedures on a Medicare patient, when before surgery, an overnight hospital stay is anticipated. La. R.S. 40:2133 provides that an ASC is “an establishment…, which does not provide services or other accommodations for patients to stay overnight…” This Department defines “overnight” to be “on or during the evening or night” which is the Webster’s New Collegiate Dictionary definition of the word “overnight.” Therefore, surgical services which include recovery or convalescent time through 23 hours of stay in the ASC would not meet the licensing requirements as interpreted by this Department.
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