Federal framework
The Centers for Medicare & Medicaid Services (CMS) certifies participating ASCs under the Conditions for Coverage in 42 CFR Part 416. Governing-body responsibilities, patient rights and facility operations form part of that framework. CMS ASC requirements.
Applications
Medicare enrollment and initial-certification work, including CMS-855B and CMS-377 as applicable. We distinguish enrollment, certification and any California licensure requirements. CDPH ASC application guidance.
Changes and survey response
Ownership changes, agency correspondence, survey deficiencies and plans of correction, considered with the transaction documents and operating responsibilities.
State regulator
California Department of Public Health (CDPH), Licensing and Certification. The surgical-clinic framework depends on ownership and operation; physician or dentist offices have a different statutory treatment. CDPH surgical-clinic definition.
Initial and ownership applications
HS 200, organizational disclosures and other applicable submissions. We connect the licensing record to the buyer, operating entity, lease and management arrangement. CDPH initial/CHOW checklist.
Premises and services
Facility leases, construction responsibilities, equipment arrangements and proposed service changes. The planned use and approval responsibilities belong in the property negotiations.
Accreditation framework
The Medical Board of California approves accrediting agencies for covered outpatient surgery settings. Accreditation, CDPH licensure and CMS certification are distinct routes with setting-specific requirements and exemptions. Medical Board guidance.
Operating agreements
Anesthesia services, professional coverage, transfer arrangements, credentialing responsibilities and management contracts, matched to the applicable setting.
Reporting and review
We assess applicable adverse-event, patient-transfer and related reporting questions, agency correspondence and corrective-action work. Medical Board reporting forms.
These categories can overlap. We identify the center's actual status before planning a transaction or operational change.
Yes. Share the proposed ownership, expected role, financial terms and current agreements. We can identify the business and regulatory questions while there is still room to shape the deal.
Yes. Bring the governing agreements and the decisions or payments in dispute. We can assess the available options and agree on a fixed-fee scope for the next stage.
