Freestanding Surgical Outpatient Facility (FSOF)
A freestanding surgical outpatient facility (FSOF) is defined as a facility, other than the office of a physician, dentist, podiatrist, or other private practice, offering a surgical procedure and related care that in the opinion of the attending physician can be safely performed without requiring overnight inpatient hospital care.
Hospital outpatient surgery departments physically located within the hospital are normally included within the hospital license and the Medicare/Medicaid certification of the hospital itself
Ambulatory Surgical Center (ASC)
An ambulatory surgical center is defined as a distinct entity that operates exclusively for the purpose of providing surgical services to patients not requiring hospitalization and has an agreement with the Centers for Medicare and Medicaid Services (CMS) to participate in Medicare.
Licensure and Certification Process
State licensure requirements and federal Medicare certification information are located on this page.
Accrediting Organizations
Ambulatory Surgical Centers accredited by one of the following programs are deemed to comply with the Medicare Conditions of Participation (CoP). Participation in an accreditation program is voluntary. See Federal Register/Vol 67, No. 226 and
State Operations Manual (SOM), Appendix L for ASCs.
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60093
1-800-994-6610;
www.jcrinc.com
American Osteopathic Organization
142 E. Ontario St.
Chicago, IL
1-800-621-1773;
www.hfap.org
Accreditation Association for Ambulatory Health Care
5250 Old Orchard Road, Suite 200
Skokie, IL  60076
847) 853-6060;
www.aaahc.org
American Association for Accreditation of Ambulatory Surgery Facilities
5101 Washington St, Suite 2F
P.O. Box 9500
Gurnee, IL 60031
1-888-545-5222;
www.aaaasf.org
Complaint Investigations
Allegations of improper care, treatment, abuse or fraud may be submitted in writing to the address below, by calling the Bureau of Health Systems' hotline number @ 1-800-882-6006, or by faxing to (517) 241-0093. The Bureau does not have the authority to investigate disputes that pertain to fees for service or for private insurance coverage.
Contact Information
Michigan Department of Community Health
Bureau of Health Systems; Division of Licensing & Certification
P.O. Box 30664, Lansing, MI 48909
Telephone: (517)241-4160; Fax:(517) 241-3354
Related Links