swamp the $1,800 to $2,000
Medicare is reimbursing a facility
for the case. "Our physicians tend
to bring us reasonable cases we
can earn a profit on," says Mr.
deBrueys.
Skilled hands
To succeed in an ASC, retina sur-
gery depends on physicians who
not only know the techniques,
but also keep an eye on the
clock and the budget.
Manufacturers' reps are good
sources of information on the
retina surgeons you're consider-
ing inviting into your ORs, says
Mr. deBrueys. "They know
whether they're relatively fast,
whether they use a smaller arma-
mentarium, are they cognizant of
time, are they patient with staff.
Reps will tell you everything you
want or need to know about
docs."
The support of a trained surgi-
cal team who know the surgeon
and the routine can help to
smooth the process. "When our
docs came over from the hospi-
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