ASC Management

We have the expertise and insight to elevate your ASC.

• Familiarize the ASC staff with the bookkeeping and accounting procedures in accordance with Client approved policies and procedures

• Record and manage, or train ASC staff to record and manage, all accounts payable, payroll transactions, other cash disbursements, and cash receipts

• Monitor cash flow, loan draws, transfers between accounts, investment of excess cash, and distributions under the direction of Client

• Use remote access technology to transfer accounting data between Client site and AMBLITEL corporate site

• Reconcile balance sheet accounts, review general ledger account coding of  transactions,  and  prepare adjusting journal entries monthly

• Close books and prepare monthly reports to Client's Management Board, including Balance Sheet, Profit and Loss Statement, Cash Flow Statement, and comparisons of actual amounts to budgeted amounts, and provide more detailed backup as requested by the end of the 10th business day of the month.

• Provide statistical and trending reports to the Management Board monthly

• Provide resource to answer bookkeeping and accounting questions as needed

• Interface with banking, lending, payroll, collections, and other third parties as necessary

• In cooperation with the ASC Administrator, provide annual operating budget, capital budget, and cash flow plan for approval by Management Board

• If requested or required, facilitate engagement by Client of accounting firm to perform independent year-end review or audit and prepare tax returns and coordinate year-end review or audit and preparation of tax returns with accounting firm

Note: ASC business valuation services are not included in the scope of this  Agreement.  If  Client  requires assistance with a business valuation, AMBLITEL has the skills and resources to assist Client with a business valuation.

• Familiarize the ASC staff with the policies and procedures adopted by the Management Board

• Implementation of block scheduling

• Consult on business office staffing patterns, and efficient, effective use of staff skills and time

• Provide telephone support as necessary to answer questions regarding business office operations

• Selecting and managing ASC staff to perform ASC procedure coding

• Provide sample inventory management policies and procedures for adoption by Client

• Support the Director of Nursing in familiarizing the ASC staff with the inventory management policies and procedures adopted by Client

• Coordinate inventory management through the use of automated purchase orders and receiving, surgeon preference cards, and physical inventory observations/adjustments

• Coordinate the physical inventory observation process with the Director of Nursing

• Analyze supply cost utilization and identify opportunities for standardization and cost savings

• Negotiate pricing with supply vendors as directed by Client

• Compare supply cost/utilization data for high-volume procedures to other ASCs in the AMBLITEL network  on a case-by-case basis

• Perform an annual on-site audit of inventory systems, processes, and results

• Provide sample targets for days in inventory and value of inventory on-hand, and monitor progress relative to these targets

• Assist with the recruiting, hiring of the ASC management team (Director of Nursing and Business Office Manager) in coordination with Client

• Review and make recommendations regarding revisions, as necessary, to the ASC staffing plan based on ASC volume and case mix

• Coordinate and provide training and orientation opportunities for ASC management team

• Through the ASC Administrator, foster an environment of teamwork and open communication among staff

• Help to train the ASC Management staff regarding the "ASC Culture," such as encouraging customer service, efficiency, innovative thinking, and personal contribution to the ASC business

• Configure, to the extent practicable, the ASC information system to collect data for benchmarking indicators

• Provide list of AMBLITEL proprietary clinical and business office benchmark indicators

• Collect benchmark indicator results quarterly and compare with other ASCs in AMBLITEL network

• Identify "Best Practices" within each benchmark indicator

• Attempting to satisfy accreditation requirements for internal and external benchmarking

• Recommend an annual ASC marketing plan with corresponding budget for adoption by Client

• Assist with development of a newsletter to Management Board members, investors and Medical Staff members as requested

• If requested, conduct an annual strategic planning session with the Management Board to determine priorities and direction for the ASC

• Assist the ASC Administrator in the preparation of an annual business plan and budget to be adopted by Client

• Provide a survey tool to periodically measure patient satisfaction, tabulate results and report results to the Management Board, and follow up on negative feedback as requested by the Management Board

• Provide a survey tool to periodically measure employee satisfaction, tabulate results  and  report results to the Management Board

• Assist the ASC Administrator and staff in monitoring the completeness of physician credentialing statistics, files, and documentation and in credentialing and re-credentialing medical staff members as required by the ASC's Medical Staff Bylaws.

• Provide a survey tool to periodically measure surgeon satisfaction, tabulate results and report results  to the Management Board, and follow up on negative feedback as requested by the Management Board

• Implement and manage the block scheduling system

• Coordinate surgery scheduling processes with surgeons' office staffs

• Through the Director of Nursing, ensure that physician preference cards are established and maintained and that necessary supplies and equipment are available, consistent with Client's policies

• Emphasize importance of customer (surgeon) service to all ASC staff members

• Maintain open lines of communication between the ASC staff, surgeons, and surgeons' office staffs

• Assist with the coordination and performance expectations of the anesthesiologists providing services at the ASC

• Familiarize the ASC staff with the clinical policies and procedures as adopted by the Management Board

• Through the ASC Administrator, attend regular meetings of the clinical, operations, patient care, or other advisory committees to be formed by the Management Board relating to the day-to-day operations of the ASC, and report actions and findings of such committees to the Management Board

• Monitor and report clinical benchmarks of the ASC to the Management Board, comparing  these against other ASCs in the AMBLITEL network

• In coordination with the ASC Administrator and Director of Nursing, monitor quality of care indicators for the ASC

• Consult on the administrative and management aspects of clinical functions

• Familiarize the Director of Nursing with appropriate clinical staffing patterns and levels, and monitor clinical hours per case on a monthly basis

• Support on-site ASC management team in educating ASC staff regarding  regulatory  and  accreditation requirements of the ASC

• Through the Director of Nursing, monitor the risk management program

• Obtain summary statistics from ASC of all signed payer contracts and terms and provide to Business Office

• In coordination with the Business Office Manager, monitor accuracy of reimbursement with contract terms and calculate expected net revenue

• Monitor ASC fee schedule and suggest modifications as necessary for adoption by Client

• Prepare and distribute a monthly report of financial and statistical data to the Management Board

• Communicate and cooperate with the Management Board member serving as the  ASC  Project Liaison between regularly scheduled meetings

• If requested by client, coordinate an annual strategic planning session with the Management Board to obtain input regarding the direction of the ASC business

• Provide access to other management company’s clients for networking and exchange of information