WALANT Patient Satisfaction

Patient Satisfaction: 100 consecutive patients were polled postoperatively 91% found it was less painful or comparable to procedures performed under local anesthesia at the dentist’s office.86% would prefer to be awake for further hand surgery.90% would recommend wide awake surgery to a friend. Study: Teo I, Lam W, Muthayya P,… Continue reading

IOECTR Carrier Negotiation Decision Tree

This one-page graphic illustrates how leverage works using a sample point system. It also illustrates the difference between asking the carrier to cooperate and provide their total costs versus the clinic cost-accounting approach to determining your request amount. These are great for meetings or discussions with a cross-functional team. I… Continue reading

Surgical Facility Classes

These are based on the level of care rendered. Each facility class has minimal equipment required on site. Class A facility: Provides for minor surgical procedures performed under topical, local, or regional anesthesia without preoperative sedation. Excluded are intravenous, spinal, and epidural routes; these methods are appropriate for Class B… Continue reading

Office Surgery Levels

Level I Office Surgery includes, but is not limited to minor procedures such as excision of skin lesions, moles, warts, cysts, lipomas and repair of lacerations or surgery limited to the skin and subcutaneous tissue performed under topical or local anesthesia not involving drug-induced alteration of consciousness other than minimal… Continue reading

Anesthesia Levels

While the information below refers to ASC’s it also applies to office-based surgical suites subject to state guidelines. For roughly 15 states (2021) level 1 anesthesia level does not require accreditation or state regulation; regulations change often so always confirm with your state medical board. AAAASF (American Association for Accreditation… Continue reading