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hello this is dr eric bricker and thank you for watching a healthcare z todays topic is dr hospital asc joint ventures and by asc i mean ambulatory surgery center now i have shown in a previous video about how there is a law called the anti-kickback law which essentially says that a hospital or another physician cannot pay a bribe or a kickback for a referral now there are exceptions to that rule and those exceptions to that rule are referred to as safe harbors and so one of the ways that that manifests itself is as an exception where doctors can actually be part owners in an ambulatory surgery center and the reason that that needs to be an exception is because not only will the physician be paid their professional fee but then theyll also be paid a percentage of the facility fee as well so typically under anti-kickback law that percentage of the facility fee would be thought of as the kickback but because of the safe harbor the doctor can still be paid that right so the doctors are