According to Regina Boore, vice president of surgical operations for Surgery Center Services of America (SCSA), a limited scope of care increases your vulnerability in an era of declining reimbursement, particularly when your procedures are primarily Medicare-dependent. The reality that ophthalmology is subject to the whims of Medicare is further compounded by the fact that other payers use HCFA rates as the standard from which they set their own rates. In broadening your scope of care, you can hedge your bet, so to speak, by limiting your dependence on reimbursement tied to one or two Current Procedural Terminology (CPT) codes.