LUTZ BUSINESS INSIGHTS

 

24‐HOUR STAY RULE: BILL LB 783

24-hour stay rule: bill lb 783

matt shonsey, tax director
jerad knott, tax shareholder

Those living in Nebraska and involved with ambulatory surgery centers (ASC) likely know about Bill LB 783, a major change to ASCs. Before this bill, ASCs in Nebraska had a length of stay requiring discharge the same day when surgery occurred. Now the bill allows patients to extend their stay to include an overnight stay.

Essentially, the bill matches Nebraska law with the national ASC law through the Centers for Medicare & Medicaid Services, with some minor differences. What does the new bill entail, and how will it affect Nebraskans?

 

How Long Will the Bill Extend ASC Stays?

LB 783 extends Nebraska’s length of stay requirements for ASCs from same working day to “within twenty-four hours after the introduction of anesthesia for persons for whom anesthesia is administered.” This allows patients to stay overnight as long as they are discharged within 23 hours and 59 minutes from receiving anesthesia.

This is a great alternative to an overnight stay in a hospital, which is a higher cost option. Since they began primarily in the 1990s, ASCs have brought quality medical care to individuals and gained a track record of having successful outcomes. With the passage of this bill, ASCs will be able to provide surgeons an opportunity to perform many approved procedures previously only performed in a hospital setting.

 

When Will the Bill Officially Become Law and How Do You Evaluate the Opportunity to Consider This?

On November 11, 2020, this bill became official. Nebraska ASCs desiring to take advantage of this law change will still need to review whether their facility is set up to accommodate this extended‐stay surgery; plus, do they have types of outpatient surgical cases requiring extended stays? If so, what equipment needs will this require; and finally, are the surgeons willing to bring these types of cases to the ASCs?

 

Continued Changes in Today’s Healthcare

The passage of this bill is another step in the process of making today’s healthcare more affordable, convenient, and friendly in a proven safe environment. The continued advances and improvements in the skill level of surgeons, surgical instruments and equipment, and pharmacy and anesthesia are allowing ASCs to become the preferred location for most outpatient surgical procedures today, and LB 783 has certainly expanded this opportunity. If you have any questions related to reviewing your opportunities to allowing your ASC to evaluate the possible benefit of utilizing LB 783, please contact us.

ABOUT THE AUTHOR

308.384.9910

mshonsey@lutz.us

LINKEDIN

3320 JAMES ROAD

SUITE 100

GRAND ISLAND, NE 68803

MATT SHONSEY + TAX DIRECTOR

Matt Shonsey is a Tax Director at Lutz with over 38 years of experience in taxation. He specializes in tax planning and consulting for individuals and businesses, as well as healthcare accounting and consulting.

AREAS OF FOCUS
  • Tax
  • Audit
  • Healthcare Accounting & Consulting
  • Estate & Gift Planning
  • Agriculture Industry
  • Healthcare Industry
  • Franchise Industry
AFFILIATIONS AND CREDENTIALS
  • American Institute of Certified Public Accountants, Member
  • Nebraska Society of Certified Public Accountants, Member
  • Certified Public Accountant
EDUCATIONAL BACKGROUND
  • BSBA, University of Nebraska, Kearney, NE
  • Graduate Studies in Accounting, University of Nebraska, Lincoln, NE
COMMUNITY SERVICE
  • Grand Island Community Foundation, Past Board Member
  • St. Francis Medical Center, Past Board Member
  • College Park of Grand Island, Past Board Member
  • Grand Island Economic Development Corporatin, Past Board Member
  • Community Health Charities, Past Council Member
  • Stuhr Museum Foundation, Past Council Member
  • Heartland Events Center - Major Gifts Committee, Past Co-Chair
  • College Park Campaigns - Major Gifts Committee, Past Co-Chair
  • 2005/2006 Heartland United Way Campaign, Past Co-Chair
  • State Volleyball Fundraising Committee, Past Chair Member
THOUGHT LEADERSHIP
Jerad Knott

308.398.1545

jknott@lutz.us

3320 JAMES ROAD

SUITE 100

GRAND ISLAND, NE 68803

JERAD KNOTT + TAX SHAREHOLDER

Jerad Knott is a Tax Shareholder at Lutz with over ten years of experience in taxation. He provides tax planning, research, compliance and consulting services to privately held companies.

AREAS OF FOCUS
AFFILIATIONS AND CREDENTIALS
  • American Institute of Certified Public Accountants, Member
  • Nebraska Society of Certified Public Accountants, Member
  • Certified Public Accountant
EDUCATIONAL BACKGROUND
  • BSBA, Hastings College, Hastings, NE
  • MBA, University of Nebraska, Omaha, NE
COMMUNITY SERVICE
  • Ashland City Council, Past Councilman
  • Ashland Planning Commission, Member
  • ClubRed (American Red Cross), Board Member
  • Project Extra Mile, Past Board Member

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