Facility Licensing, Certification & Accreditation

Peak One Surgery Center is licensed by the state health department.  Obtaining a license requires strict adherence to state regulations.

We are also accredited by the Accreditation Association for Ambulatory Health Care, Inc. and the Center for Medicare & Medicaid Services (CMS). Ambulatory surgery centers (ASCs) with these accreditations are regularly surveyed for compliance to regulations.

For an ambulatory surgery center (ASC) to receive reimbursement for services provided to Medicare or Medicaid recipients, the ASC must be certified by the Centers for Medicare & Medicaid Services (CMS). Obtaining certification requires the same strict adherence to federal regulations outlined in Code for Federal Regulations, Title 42, Chapter IV, Subchapter B, Part 416.  To qualify for certification, the ASC is evaluated for compliance to regulations by undergoing an unannounced survey.  A plan of correction is required to address any non-compliance to regulations.

An ASC chooses to voluntarily seek accreditation from an accreditation organization.   The goal for any ASC is to integrate state, federal, and accreditation association standards into everyday performance by members of medical staff and ASC personnel.

Our ASC has chosen AAAHC as our accreditation organization.  Surveys are typically conducted every three years.  Our ASC works tirelessly to address standards as outlined by our accreditation organization.  We sustain our performance of these ongoing activities by assigning specific tasks and oversight to key personnel within our ASC.  If deficiencies are identified during survey conditions, we submit a plan of correction and must demonstrate adoption and sustained improvement to validate we have met all accreditation requirements.  Achievement of accreditation is the gold standard for delivery of care and services.  We take pride in our sustained accreditation status since opening in 2005.

For more information on the patient care standards set forth by CMS and AAAHC, please visit the following resources:

• CMS Quality, Safety & Oversight – Guidance to Laws & Regulations
• AAAHC Accreditation for Ambulatory Surgery Centers