
The fees for Provisional Status and Full Approval applicants for Bariatric
Surgery Center of Excellence® designation must be paid prior to the
submission of an application. Provisional Status and Full Approval application
fees are not invoiced unless requested by the applicant's accounting
department. All other fees are invoiced for payment.
Fees may be paid by Wire Transfer from applicant’s bank or credit card (MasterCard or Visa only). All payments should include your SRC ID number, name of facility/surgeon and, when applicable, an invoice number.
Credit card payments require the completion of a Credit Card Payment Form. When needed, a Credit Card Payment Form can be requested by contacting . Credit card payments cannot be accepted over the phone. All credit card payment forms must have an authorized signature to be processed.
If paying fees by Wire Transfer, please contact to obtain a Bank Wire Notification form with Surgical Review Corporation’s bank information. A completed Bank Wire Notification form must be returned via fax to the accounting department at Surgical Review Corporation no later than the day funds are transferred. The fax number is listed on the Bank Wire Notification form.
| PROVISIONAL STATUS FEES |
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| BOLD™ ACTIVATION FEE |
$875 |
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Billed once to the Practice. An invoice
and BOLD participation documentation
are sent following notification of
Provisional Status. Payment and all required documentation must be returned
within 90 days for BOLD activation. |
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| BOLD ANNUAL DATA SUBMISSION |
$875 |
|
Billed annually, the invoice is sent to the Provisional
Status Hospital/Freestanding facilities until Full Approval BSCOE designation
is received. It is up to the Center (Hospital/Surgeon/Practice) to determine
how this cost is shared. |
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| BSCOE PROVISIONAL STATUS APPLICATION AND EXTENSION FEES |
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Provisional Status is effective for up to two years.
Extension of Provisional Status requires payment of an annual extension fee. |
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Provisional Status Application - Hospital/Freestanding
facility |
$7,500 |
|
|
Provisional Status Extension - Hospital/Freestanding
facility
(provides one-year extension) |
$7,500 |
|
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Provisional Status Application - Surgeon |
$500 |
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Provisional Status Extension - Surgeon
(provides one-year extension) |
$500 |
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| FULL BSCOE ANNUAL PARTICIPATION FEES |
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BOLD Data submission fees are included. |
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| BSCOE FULL APPROVAL APPLICATION/RE-APPLICATION |
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|
Hospital/Freestanding facility |
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First-year Annual BSCOE Participation Fee.
As a new applicant,
this is the first year of a three-year cycle. Initial site
inspection fees are
included. NOTE: Applicant surgeon(s) must also be compliant
with BOLD
prior to submission of Full Application. (Fee must be received before
application can be submitted) |
$15,000 |
|
|
Second-year Annual BSCOE Participation Fee. (Fee will be invoiced.) |
$3,000 |
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Third-year Annual BSCOE Participation Fee. (Fee will be invoiced.) |
$3,000 |
|
Surgeon |
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| |
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First year Annual BSCOE Participation Fee. As a new application,
this is the first year of a three-year cycle. NOTE:
Applicant surgeon(s)
must
also be compliant with BOLD prior to submission of
Full Application.
(Fee
must be received before application can be submitted.) |
$1,000 |
|
|
Second-year Annual BSCOE Participation Fee.
(Fee will be invoiced to the surgeon.) |
$500 |
|
|
Third-year Annual BSCOE Participation Fee.
(Fee will be invoiced to the surgeon.) |
$500 |
| RENEWAL ANNUAL BSCOE PARTICIPATION FEES |
|
|
This is a three-year renewal cycle.
Additional site inspection fees apply.
BOLD Data Submission Fees are included.
All renewal fees are invoiced prior to submission of renewal. |
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Hospital/Freestanding Facility |
|
|
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First-year of three-year renewal cycle -
renewal site
inspection fee applies |
$9,000 |
|
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Second year of three-year renewal cycle |
$3,000 |
|
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Third year of three-year renewal cycle |
$3,000 |
|
Surgeon |
|
|
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Each year of three-year renewal cycle |
$500 |
| |
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| SITE INSPECTION FEES |
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| Renewal Site Inspection |
TBD |
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Applies to the renewal-year site inspection. Fee are invoiced for actual travel expenses per site inspector per day. |
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| Additional Surgeon Site Inspection |
$1,500+ |
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Applies when Full Approval surgeon applicant is added to
an existing BSCOE Center, invoiced for $1,500 PLUS actual travel expenses per site inspector per day. |
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| Return Site Inspection |
$2,500+ |
. |
Applies when BSRC requests an additional site
inspection, invoiced for $2,500 PLUS actual travel expenses per site inspector per day. |
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| Re-inspection After Cancellation |
$3,500+ |
|
Applies when the site inspector must return for
inspection after an inspection is cancelled due to lack of preparation by the
applicant, invoiced for $3,500 PLUS actual travel expenses per site inspector per day. |
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