Changes in Obstetrics, and Gynecologic CareTransition to Office-based Obstetric and Gynecologic Procedures Safety, Technical, and Financial ConsiderationsPEACOCK, LISA M. MD*; THOMASSEE, MAY E. MD†; WILLIAMS, VALERIE L. MD*; YOUNG, AMY E. MD*Author Information *Louisiana State University Health Sciences Center, New Orleans, Louisiana †Vanderbilt University School of Medicine, Nashville, Tennessee The authors declare that they have nothing to disclose. Correspondence: Lisa M. Peacock, MD, 1542 Tulane Avenue, #550, New Orleans, LA. E-mail: [email protected] Clinical Obstetrics and Gynecology: June 2015 - Volume 58 - Issue 2 - p 418-433 doi: 10.1097/GRF.0000000000000100 Buy Metrics Abstract Office-based surgery is increasingly desired by patients and providers due to ease of access, overall efficiency, reimbursement, and satisfaction. The adoption of office-based surgery requires careful consideration of safety, efficacy, cost, and feasibility within a providers practice. This article reviews the currently available data regarding patient and provider satisfaction as well as practical considerations of staffing, equipment, and supplies. To aid the practitioner, issues of office-based anesthesia and safety with references to currently available national guidelines and protocols are provided. Included is a brief review of billing, coding, and reimbursement. Technical procedural aspects with information and recommendations are summarized. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.