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Physicians performing office-based surgery must have admitting privileges at a nearby hospital, or a transfer agreement with another physician who has admitting Effective July 14, 2009, physician offices that perform surgical or invasive procedures using more than mild sedation must be accredited by one of these Office-Based Surgery (OBS). Board-by-Board Statutes, Regulations, and Policies. Citation. Alabama Admin. Code Ch. 540-x-10. Guidelines Regarding the Use of Nevertheless, it is expected that any practice performing office-based surgery regardless of anesthesia will have the necessary equipment and personnel to be The Massachusetts Medical Society's (MMS) Task Force on Office Based Surgery reviewed the guidelines developed by many other state medical societies, Guidelines for Optimal Ambulatory Surgical Care and Office-Based Surgery, 3rd Edition, May. 2000, American College of Surgeons, Board of Governors Committee on Office Based Surgery · An unanticipated transport of the patient from the facility to a hospital emergency department · An unplanned readmission to the officeThis law defines office-based surgery, requires private physician practices in which OBS is performed to maintain accreditation from an accrediting agency