SURGERY CENTER MANAGEMENT

Elevate Your ASC

Dive into the Key Capabilities of HST’s Surgery Center Management

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Revenue Cycle Management:

Billing and Coding

Simplify billing with automated claim scrubbing and direct transmission of claims and statements to the clearinghouse. Ensure precise net revenue projections with integrated contract write-offs during charge entry.

Enhanced Verification & Preauthorization

Minimize errors through advanced insurance verification and pre-authorization processes, seamlessly integrated from scheduling to pre-op.

Claims Management

Effortlessly generate all eligible claims in a single step. With HST, simultaneously create ECS, CMS, and UB claims, organizing them for easy transmission or printing.

Direct Clearinghouse Payment Process

Accelerate payments by directly transmitting claims and importing Electronic Remittance Advices (ERAs) for both patient and payer payments from the clearinghouse.

Insurance Card Scanning

Quickly and accurately capture patient insurance details by scanning directly into Document Central. This process reduces manual data entry and enhances billing accuracy.

Electronic Transmission of Statements and Claims

Streamline billing with electronic transmission of statements and claims. Automatically populate primary payer adjudication data for secondary claims, ensuring error-free transmission of clean claims directly to Waystar or other clearinghouses.

Automated Claim Re-submission

Easily reprint or regenerate claims, with automatic creation of new claims for any adjusted charges, ensuring prompt and accurate billing.

Claim Rejection Analysis

Track and manage claim rejections with delay reasons and visit categories, facilitating effective follow-up and resolution.

Co-payment Built into Scheduling

Integrate co-payment calculations directly into scheduling, providing clear visibility of amounts due on service dates.

Electronic Eligibility Verification

Access real-time and batch eligibility verification directly with the clearinghouse, ensuring accurate patient coverage information.

Electronic Payment Tracking

Efficiently track payments using the Electronic Remittance Advice – Payer functionality and corresponding history reports, with options to identify and manage unidentified payments.

Statement Delivery

Choose from multiple statement delivery options, including direct printing, electronic transmission to clearinghouses or vendors, or automated transfer to TSI, Mnet, or other collection agencies.

Payment Posting

Post patient payments electronically or manually to keep records accurate. With HST’s patient payments, post automatically—or you can choose to enter unposted transactions for your staff to reconcile and post later. You also have the flexibility to post in the current or previous month, based on your center’s accounting needs.

Patient Refunds

Manage patient refunds and adjustments seamlessly, either in bulk or individually, for streamlined transaction processing.

Turn Patients Over to Collections

Easily assign visits to collections and write off balances to bad debt, with comprehensive data exports and direct interfaces with Mnet and Transworld Systems (TSI) for collection assignments.

Clear Payment Plan Indicators

See right away if a patient visit is part of a payment plan. This helps your staff track and manage payments more easily.

Custom Footer Messages on Patient Statements

Add your own footer message to the bottom of patient statements and estimates. This footer message shows when the document is printed, previewed, or exported.

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ASC Management:

Surgical Scheduling

Efficiently manage surgery schedules, ensuring no conflicts with provider credentials, preference cards, room availability, or equipment. Our system streamlines the scheduling process for optimal operational flow.

Pre- and Post- Surgical Workflows

Automate patient estimates and easily access surgical documents. Streamline patient check-ins and monitor their status for a seamless pre- and post-surgical experience.

Workflow Task Manager

Organize and manage tasks efficiently with our dashboard. Pre-assign tasks, ranging from Insurance Verification to Patient Collections, to ensure they are completed accurately and on time.

Enterprise Configuration

Maximize efficiency with a single, unified database, simplifying data management and reducing redundancy. Customize user roles and permissions to meet your organization’s specific needs while ensuring data security. Enjoy the benefits of standardized code table sets for consistent data interpretation and real-time data access, empowering your enterprise with accurate and up-to-date information for seamless reporting. Rest assured knowing that our system is fully SOC II compliant, and has achieved the HITRUST Essentials, 1-year (e1) Certification, ensuring the highest level of data security and compliance.

Real-Time OR Alerts

Maximize OR efficiency with real-time alerts for room and equipment conflicts. Keep provider credentials and insurance information up-to-date, tracking licenses and privileges effectively.

Provider Credentialing Guard

Ensure providers are up-to-date with credentials, insurance, and licenses using reminders and restrictions. Maintain compliance with a tickler file and the Physician Expiration Date Listing report for all team members with special credentialing needs.

Comprehensive Credentialing Tracker

Efficiently track and manage credentials for all medical staff, including surgeons, anesthesiologists, and other healthcare professionals. Use our Tickler file and Physician Expiration Date Listing report to monitor essential credentialing details and expiration dates, ensuring your staff remains compliant.

Dynamic ASC System Integrations

Leverage our ASC system’s extensive bi-directional interface capabilities. Benefit from multiple integrations with clearinghouses, inventory management systems, collections, and more, adapting to your ASC’s evolving needs.

Document Management

Manage documents efficiently with Document Central, allowing for easy scanning or uploading directly to patient visits. Attach essential documents like insurance cards and consent forms, securely retaining them for future use.

Report Management

Utilize versatile filters in our reporting system to refine results, including various date selections. Access reports in PDF, Excel, or CSV formats for added flexibility and data manipulation.

Preference Cards

Manage supplies effectively with Preference Cards, automatically pulling supplies into cases. Capture physician preferences for procedures, ensuring rooms are well-prepared, case costing is accurate, and billing is comprehensive. For HST eChart users, supplies and implants entered will automatically populate in the Supply Used section.

Supply Chain Management

Keep track of inventory levels, reorder points, and expiration dates. Monitor supplies used for different procedures to optimize case costs and plan future supply needs, ensuring a well-stocked and efficient operation.

Robust Integrations

HST’s surgery center management has powerful integrations with multiple systems, enhancing its capabilities. It features HL7 integrations with NextGen, Athena, and Greenway for practice solutions, and offers a comprehensive bi-directional claims and clearinghouse experience through Waystar. The system also integrates with OAS CAHPS, streamlining patient surveys and feedback. For collections and bad debt reconciliation, HST connects with MNet and TSI. Additionally, HST’s robust capabilities include support for Nuance and Vincari in coding and transcription. The platform’s extensive inventory suite is complemented by a two-way connection with IOS and Hybrent. Integration with Epic and Cerner, as well as Athena and NextGen via Case Coordination, further extends its interoperability, making HST a versatile choice for ASC management.

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Supply Chain Management:

Implant Management

Maximize revenue and streamline implant management with our integrated workflow. Accurately project net revenue by effectively managing contract write-offs during charge entry. Our system ensures seamless flow of cost, pricing, and coding information, with automated alerts and tasks to achieve precise implant billing.

Inventory Management

Effortlessly handle all inventory aspects with our comprehensive system. Set up and manage the Item Master, equipment records, purchase orders, and item templates. Our inventory management not only simplifies these processes but also integrates with other system areas like Physician Preference Cards and Supplies Used, enhancing overall efficiency.

Purchase Orders

Create and manage purchase orders effortlessly, either through Item Requests or manual entry. HST’s surgery center management allows for flexible receiving of orders, whether in full or part, accommodating back-ordered items. Plus, gain valuable insights with detailed reports on item information, valuation, and usage.

Consignments

Easily identify and manage consignment implants by designating them as a specific Item Type. This feature enables precise physical counts and tailored inventory reports, ensuring accurate and streamlined consignment tracking.

Track Expiration Dates, Serial, and Lot Numbers

Efficiently track critical details like serial, model, and lot numbers, along with expiration dates, using our Implant Log form. Assign and manage inventory categories for enhanced tracking and reporting, ensuring complete control over your inventory details.

Accounting Methods for Inventory Valuation

Choose the most suitable inventory valuation method from options like current price, average price, LIFO (Last In, First-Out), or FIFO (First In, First Out). HST’s surgery center management provides flexibility in configuring inventory valuation, aligning with your center’s specific financial strategies.

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Reporting & Auditing

State and Regulatory Reporting

HST’s surgery center management includes comprehensive state and regulatory reporting capabilities, essential for ASC efficiency. Tailor reports to your unique needs, covering areas like surgical scheduling, inventory management, and billing, ensuring compliance and operational effectiveness.

Zero – Balance Audit

Access detailed reports for tracking payments and adjustments on zero-balance accounts. These reports provide insights into revenue variance, offering a clear view of your financial health.

Coding Audits

Facilitate coding and charge entry with separate forms when performed by different departments or staff. Utilize the Code Proof report to monitor coding productivity and accuracy, and generate statistical and financial reports at the CPT level for deeper insights.

Internal Audits

Conduct thorough internal audits with our comprehensive Audit Logs, covering Inventory, Scheduling, Block Maintenance, and specific user or account activities. The User Access report further enhances transparency and identifies out-of-period adjustments and contract variances.

Financial Standardized Reports

Explore key financial metrics with ease using our suite of approximately 150 reports. These reports span financials, statistics, case costing, and month-end categories, offering a complete overview of your financial landscape.

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