This document provides instructions for an assignment for an HMGT 300 course. Students are asked to select one of four scenarios facing an ambulatory surgery center and develop a 10-12 slide PowerPoint presentation addressing the current status, an overview, and recommendations. The scenarios include: maintaining and increasing patient volume; physician recruitment; out of network reimbursement challenges; and doing more with less in a changing reimbursement environment. Students are to discuss how the Affordable Care Act may impact the services and use APA formatting for references. Additional resources on ambulatory surgery centers are provided.

1. HMGT 300 Week 4 Assignment
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HMGT 300 6382 Introduction to the U.S. Health Care Sector (2162)
Assignment 4: (20 points) Final Project- AMBULATORY SURGERY CENTER CASE
STUDY (Power Point Presentation) .
In the final project, students will apply the knowledge gained in this course to a case example.
Each student will select one of the scenarios below and develop a 10-12 slide PowerPoint
presentation to discuss the current status of the organization, provide an overview of the
organization, and make recommendations on how to manage the selected problem. You must
include one or more slides that address the degree to which the Affordable Care Act might
impact these services. Use APA formatting references and your reference slides. For this
presentation, your title slide does not have to be in APA format.
Info on ASC’s here:
http://www.ascassociation.org/
SCENARIO OPTIONS. Pick one of the scenarios below. Your role is the manager in charge of
an ambulatory surgery center (ASC). Restate the problem you are addressing. Make some logical
assumptions. Make brief recommendations as to a reasonable solution to the problem in the
scenario.
POINT OF CLARIFICATION: You will use an established independent ASC for either of
the four scenarios listed below. Your presentation should be drafted as the administrator
of the surgery center working to address one of the four scenarios. In your response, please
be sure to address all components of the scenario.

2. 1) One of the greatest challenges facing ASCs is maintaining and increasing volume. With all
the external pressures, i.e. physicians pressured to become employees, mergers, decreasing
payments from insurers, etc. – ASCs are challenged to keep physicians motivated to increase the
number of cases and keep patients satisfied. What are some strategies you would use to increase
referrals to your ASC while maintaining high patient satisfaction scores?
2) Another challenge facing ambulatory surgery centers is the recruitment of new physicians.
Following a national trend, many local hospitals and health systems are purchasing physician
practices, which could eventually lead to doctors referring surgical cases to a hospital’s same day
surgery department. Assuming there is ample opportunity to increase surgical volume, how do
you intend to recruit physicians to practice via your ASC? What are some strategies/offerings
you could employ?
3) The ASC you are currently managing is experiencing out of network challenges.
Additionally, the proposed reimbursement rates from payers do not match Medicare rates for
your market. Most of your ASC contracts are based on the Medicare fee schedule and because
many of your surgeries are not on that schedule, you have to negotiate a fee schedule on a case-
by-case basis. What strategies could you employ as you work with payors to contract for
reasonable rates that could save you both money in the short term?
4) In this changing environment, you are required to do more with less. Reimbursement rates
are declining; supply and implant costs, taxes, utilities, rent, salaries and benefits and other
operating costs are increasing and there are more regulatory requirements i.e., increased
standards for accreditation (Joint Commission’s additional requirements as an example), ICD-10,
adoption of an EHR, etc. Additionally, your staff is wearing multiple hats; many working to
register, bill, code, schedule and assist with back house operations. What strategies and tools can
you implement to increase productivity, reallocate resources and boost employee morale?
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