Surgery Center Management
Dive into the Key Capabilities.
RCM (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.
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.
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. HST’s surgery center management solution simultaneously creates ECS, CMS, and UB claims, organizing them for easy transmission or printing.
Effortlessly generate all eligible claims in a single step. HST’s surgery center management solution simultaneously creates 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.
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.
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.
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.
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.
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.
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.
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.
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.
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 ensuring efficient and accurate financial records. What’s more, you can leverage the integration with HST Pay for automatic payment posting.
Post patient payments electronically or manually ensuring efficient and accurate financial records. What’s more, you can leverage the integration with HST Pay for automatic payment posting.
Patient Refunds
Manage patient refunds and adjustments seamlessly, either in bulk or individually, for streamlined transaction processing.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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