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An ASC can be: Independent (not part of a service provider or other facility) Hospital-operated (under a hospital’s common ownership, licensure, or control) if the ASC: Is a separately identifiable and certified facility and is Medicare-enrolled with a supplier approval agreement distinct from the hospital’s Medicare provider agreement Is physically, administratively, and financially independent and distinct from other hospital operations, with its costs treated as a non-reimbursable cost center on the hospital’s cost report Agrees to the same assignment, coverage, and payment rules as independent ASCs Is surveyed and approved as complying with the ASC conditions for coverage (CfCs) A hospital-operated ASC isn’t like a provider-based outpatient surgery hospital department