Tag: Office-Based Surgery Regulations

Three healthcare providers talking and walking side by side down a hospital hallway.

What Are Certificate of Need Laws? Office-Based Surgery Regulations by State

Over the past six decades, certificate of need (CON) laws were put in place by some state legislatures to regulate healthcare facility development in those states. These laws have been controversial, leading some states to allow their laws to expire.… Read More

"Rock and I met when I was considering joining an existing endoscopy center. He helped me do the analysis that showed I'm better off doing procedures in my office and taking advantage of the rates he has negotiated with payers in the Chicago area. In addition to helping me design my center, equipping it, and getting it accredited by AAAASF, Rock has helped us implement multiple revenue streams and significantly increased professional fees over my prior rates. He also worked diligently to recover thousands of dollars in payments from our major payer that had been miscoded and denied."

Dr Manoj Mehta, MD

Endoscopy Center of the North Shore

Wilmette, IL

"Rock Rockett helped us to successfully launch our first healthcare product in the US. His knowledge and experience were instrumental in helping us understand and navigate a complex health system. We are thankful for his guidance and are excited to see what the future holds."

Aonghus Shortt, CEO

FoodMarble Digestive Health

Dublin, Ireland

"We contracted with Rockett Healthcare, LLC to help us develop our endoscopy center and contract with payers. Rock led a very successful contracting effort with the payers and we are earning combined facility and professional fees for office-based procedures that are 200-300% of Medicare ASC rates(depending on the payer). Rock achieved this for us by educating the local Hawaii payers on the value of office endoscopy in Hawaii's regulatory environment which makes it difficult to obtain an ASC license."

Dr Mel Ona, MD

Ohana Endoscopy Clinic

Kapulei, HI

"Rock and I met about 10 years ago when he led the negotiation process to get higher rates from our major payer for office-based procedures. He and his team helped us get our office endoscopy suite accredited and successfully completed negotiations with other payers.

More recently, I engaged Rockett Healthcare, LLC to evaluate the financial feasibility of merging with another GI group in our area. He did a terrific job of assessing the risk and reward potential of that transaction. He regularly proposes new strategies to better manage the practice and grow revenue. Rock is very prompt, forthright gets the job done expeditiously.

Rock’s contacts in the health care/insurance industry and his understanding of medical practices puts him in a unique position to advise physicians."

Suman Kaur, M.D.

Digestive Disease Associates, LTD

Hinsdale, IL

"We worked with Rock from day one of our project to develop a two room endoscopy suite for office based procedures. In addition to guiding the project from start to finish, he also has contracted with almost all of our major payers. His negotiations yielded rates with the payers that are 3x what we were getting when we did endoscopy procedures in surgery centers and hospital outpatient settings. We are grateful for his expertise and persistence in negotiating higher rates on our behalf."

Samuel Cordeiro, MBA

Prima CARE

Fall River, MA