I operate a lot in all of the above and my preference definitely depends on the case I’m doing. Overall I prefer our ASC because it’s so much faster and more efficient and I tend to do a lot of shorter cases rather than a couple big ones. For longer bigger cases I like our main OR - not as pressured to wrap it up when things go a bit long, and much easier to get patients to sicu afterwards.
I do a lot of office based procedures too - arguably the bulk of my revenue. You can bill a facility fee for office procedure depending on whether you’re classified as place of service -11 or -22. With a facility fee the MD fee is lower but you can charge the cost of things like single use injectables and laser fibers rather than deducting it from the slightly higher fee.
ETA: I love office procedures because it doesn’t eat up my precious OR time, and it’s a good use of my time, and notes are super easy to write. The drawbacks are efficiency of setup in the beginning as your staff are learning, and sometimes I bump a potential office case to the OR if I’m worried about an intraop complication. Managing something in the office is fairly challenging, so these tend to be easy chip shot cases.
