Created on: 3/20/2025
Posted to the Web on: 4/2/2025
AMBULATORY SURGICAL CENTER INFORMATION
Name and address of licensed ASC
RIVERPOINTE SURGERY CENTER 500 ARCADE AVE STE 100 ELKHART, IN 46514
Name and address of licensee
NORTHERN INDIANA AMBULATORY SURGERY CENTER 500 ARCADE AVENUE, SUITE 100 ELKHART, IN 46514
Name of administrator
HAROON ANSARI NAZ
Type of Ownership
PROPRIETARY
ASC license number
25-009967-1
License expiration date
12/31/2025
Type of ASC
State licensed and Medicare certified
NAMES AND ADDRESSES OF ADDITIONAL LOCATIONS OPERATED UNDER THE AMBULATORY SURGICAL CENTER LICENSE
The above section lists the name and address of the licensed ASC. In addition to the
address above, there may be other locations under this ASC license. The following
are other locations operated under the ASC license.
There are no off-site (satellite) locations for this center.
SERVICES AVAILABLE
The following services are available at the licensed ASC listed above. These
services include services provided directly by ASC staff and services that the
ASC provides through contracts with outside personnel. The listed services
may or may not be available at the off-site (satellite) location(s).
Service
Available (Yes/No)
LABORATORY
Yes
RADIOLOGY
Yes
EKG
No
PHARMACY
Yes
CARDIOVASCULAR
Yes
FOOT
No
GENERAL
Yes
NEUROLOGICAL
Yes
OBSTETRICS/GYNECOLOGY
No
OPTHALMOLOGY
Yes
ORAL
No
ORTHOPEDIC
No
OTOLARYNGOLOGY
No
PLASTIC
No
THORACIC
Yes
UROLOGY
Yes
OTHER
No
STATE LICENSURE SURVEYS
The ISDH conducts a state licensure survey at a licensed ASC on initial
licensure and annually thereafter. If an ASC is accredited, the ASC may
substitute the accreditation survey for the state licensure on-site
survey. If deficiencies are cited on a survey, the ASC will be requested
by the ISDH to complete a plan of correction on how and when they will correct
each deficiency and who will be responsible to ensure the corrections are made
and will not reoccur in the future. The plan of correction is submitted by the
ASC and reviewed for acceptance by the ISDH.
The following is a summary of the three most recent state licensure surveys.
Accreditation surveys are not included in the table below. To see a list of the
deficiencies cited on the state licensure survey, click on the survey date. Note
that if there were no deficiencies cited on the survey, you will not be able to
click on the survey date. To read an overview of the survey process, click here
Most Recent
2nd Most Recent
3rd Most Recent
Number of Deficiencies
0
0
0
State Average for the year of the survey (rounded to nearest whole integer.)
Survey Report
N/A
N/A
N/A
SUBSTANTIATED COMPLAINTS
Any person may file a complaint with the ISDH about an ASC. The ISDH
investigates all complaints. If in the course of the investigation a violation of
state or federal rules or regulations is found by surveyors, the complaint is said
'to be substantiated with findings.' If the surveyor verifies the facts of the
complaint but finds that no violation occurred of state rules or federal
regulations, the complaint is said to be 'substantiated without findings.' If
deficiencies are cited on a complaint survey, the ASC may be requested by the
ISDH to complete a plan of correction on how and when they will correct each
deficiency and who will be responsible to ensure the corrections are made and will
not reoccur in the future. The plan of correction is generally submitted by the
ASC and reviewed by the ISDH within fifteen (15) days of the survey.
The following is a summary of the number of substantiated complaint
investigations for the past three years. This only indicates whether the complaint
was substantiated and does not indicate whether the ASC was found in
compliance with state rules or federal regulations. The survey history section
below will show whether or not deficiencies were found on a specific complaint
survey.
Current Year
to
to
0
0
0
THIRD PARTY REIMBURSEMENT
Accepts Medicare
The ASC accepts Medicare reimbursement and meets the standards that the federal government has set for the provided services.
Yes
Accepts Medicaid
The ASC accepts Medicaid reimbursement and meets the standards that the Indiana Office of Medicaid Policy and Planning has set for provided services.
Yes
ASC ACCREDITATION STATUS
Indiana ASCs must be licensed by the ISDH. While the ISDH does not
require ASCs to be accredited, many ASCs voluntarily apply for
accreditation from the Accreditation Association for Ambulatory
Health Care (AAAHC), the American Association for Accreditation of
Ambulatory Surgery Facilities (AAAASF), Joint Commission for
Healthcare Organizations (JCAHO), or the American Osteopathic Association (AOA).
Accreditation surveys are performed by the accreditation association
once every three years.
In order for an ASC to participate in and receive payment from the Medicare
or Medicaid programs, it must be certified as complying with the CMS Conditions
of Participation. The State survey process is the primary method for achieving
certification. However, if a national accrediting organization, such as JCAHO,
has and enforces standards that meet the Federal Conditions of Participation,
CMS may grant the accreditation organization 'deeming' authority, and 'deem'
each accredited ASC as meeting the Medicare and Medicaid certification requirements.
The ASC would have 'deemed status' and would not be subject to additional Medicare
surveys by the State agency. The following chart indicates if this ASC is
accredited and if the ASC accreditation is 'deemed' by CMS and ISDH.
Accreditation status
Deemed (Y/N)
AAAHC
Yes
FEDERAL MEDICARE CERTIFICATION SURVEY RESULTS
Federal Medicare certification surveys are conducted to determine ASC
compliance with the Federal Conditions of Participation. For non-accredited
federally certified ASCs, a federal Medicare certification survey is completed
once every three years. A federal certification survey may also be completed if
the Center for Medicare and Medicaid Services (CMS) finds the ASC to be out
of compliance with a federal condition of participation and CMS requests that a
certification survey be completed. The table below is a summary of the most
recent federal certification survey.
In the case of an ASC that is accredited, an ASC that meets accreditation
standards is deemed to have met the Federal Conditions of Participation based
on the accreditation survey. In that situation, the accreditation survey replaces
the federal certification survey. Accredited ASCs will therefore likely not
have a federal certification survey. If the following table states 'Not
Applicable', this indicates that the ASC is accredited and an accreditation
survey was performed in lieu of a federal certification survey.
Date of Last Federal Certification Survey
11/10/1997
Number of Standards not in compliance during the last federal certification survey
0
Number of Conditions not in compliance during the last federal certification survey
0
SURVEY HISTORY
The following is a list of state licensure, accreditation, complaint, and federal
surveys completed at the ASC in the past five years.
The survey report is not posted until the report has been sent to the facility
and their plan of correction has been submitted and approved, if required.
In the grid below click on an event ID that is underlined to see the survey report for that event.
