HST Pathways
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The Best Orthopedic
EHR Software
Made for Surgery Centers

With HST’s ASC Software, orthopedic surgery centers can replace paper with an EHR, streamline billing and inventory, and flag payor issues early to protect margins.

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HEAR FROM ORTHO CUSTOMERS
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Software built for hospitals or physician practices falls short of the orthopedic surgery software needs of today’s ASCs.

Disconnected billing tools, inventory challenges, and hidden payor risks drain staff time and erode margins. Our ASC software is purpose-built for surgery centers, streamlining workflows, ensuring compliance, and protecting profitability, case after case.

You Can Approach Your Tech Stack In 2 Ways
The Best Option
APPROACH #1 | Best Of Breed
ASC EMR, billing, and inventory software built for orthopedic surgery centers.

PROS

Best of breed software by use case

Improved patient safety & experience

Improved financial performance

No custom development required

CONS

Manage multiple software vendors and processes

APPROACH #2 | One Size Fits All
Hospital and physician office software, not designed for orthopedic surgery centers.

PROS

Directly connected to your hospital or physician office

Cost effective

Tool familiarity

CONS

System dosen’t fit ASC needs

Lack enterprise capabilities (data standardization) and reporting

Unable to maximize reimbursement per claim

What’s best?

Orthopedic surgery centers should use an EMR, billing, and inventory management software built for the ASC setting, not hospital or physician office systems.

In a perfect world… your ASC schedule is full, every chart is 100% complete by wheels-out, and 90% of patient balances are paid before surgery. That world exists: HST’s unified architecture lets ASCs share one source of truth for scheduling, clinical operations, and revenue cycle operations.

How It Comes Together For An ASC
Proven Results From Our Customers
Most Loved Features by Orthopedic ASCs

100% Chart Completion for Every Case

Get 100% chart completion with built-in tools like status indicators, missing H&P alerts, and automated task assignments for every case. Designed for complicated procedures like knee, foot and ankle, total joint, and spine surgeries, it ensures nothing slips through the cracks. Plus, multiple clinicians can edit the same patient record at once, just like Google Docs.

Inventory Management & Preference Cards

From knee, foot and ankle, total joint, and spine surgeries to every other case on your schedule, the system captures lot, serial, and expiration details for each implant or supply used. It also updates on-hand counts in real time and simplifies reordering against your Item Master, so your team always knows what’s available. This visibility reduces waste, cuts costs, and keeps your surgery center’s workflows aligned with real-time inventory changes.

Case Costing That Works for Ortho ASCs

Tracking supply usage and other case data reveals areas for reducing waste, improving inventory planning, and lowering costs without compromising patient care.

Instant Pre-surgery Case Margins

HST calculates case profitability the moment a case is scheduled. Auto-flags highlight low margins or costly implants so you can adjust before the patient is in the OR. If an implant cost is driving margins down, you can easily reach out to your vendor to review alternatives and protect profitability.

Patient Estimates and Payments Made Simple

Quickly generate an accurate patient estimate tailored to the procedure including facility, anesthesia, & professional fees. Share it by text or email with built-in payment options, so patients can act right away. Track when estimates are viewed, confirm eligibility, and see case details in real time.

Accurate Reporting Built for Enterprise ASCs

Get clear, reliable reporting that gives you a complete view of your ASC’s financial health. Track key metrics like collection rates, days in A/R, patient financial responsibility, and generate the reports required for state and federal compliance. Enterprise-grade architecture ensures data accuracy and consistency with a single database, standardized code sets, detailed user permissions, and real-time access to the numbers that matter.
HST Helps Across Every Stage In The ASC

Financial Clearance & Feasibility

  • Real-time case profitability before date of service
  • 4 clearinghouses & patient payment collected prior to date of service
  • Insurance eligibility automatically verified and checked 3 times
  • Estimates can include facility, anesthesia, & professional fees

Case Scheduling & Communication

  • Interfaces with physician office and hospital software for real-time surgical scheduling
  • Automated sharing of OR availability
  • Advanced block time management

Check in & Charting

  • Trackable and automated workflows for complicated ortho cases
  • Auto-populates chart details based on case type and physician preference cards
  • Tablet-first charting (computer also works)
  • Simultaneous chart edits
  • Direct e-signature capability

Patient Engagement

  • Customizable automated & one-to-one patient texting available
  • Pre-assessment form accessible by a secure link via text or email
  • Keyword flagging from texts and form answers can automatically put the patient in a clinical risk follow-up queue

Post-Op Communication

  • Check-in with patient post-surgery
  • Re-communicate post-operative instructions
  • Automated post-op reminder texts can be customized

Revenue Cycle & Inventory Management

  • Tracks surgical supplies
  • Manages implants
  • Focuses on surgical billing workflows
  • Automated claim scrubbing
  • Achieve a 99.1% clean claim rate

Data & Analytics

  • 230+ reports and dashboards to explore ASC financial, clinical, & operational metrics including inventory
  • Access to all raw center data in one place
  • ASC enterprise reporting, state, & regulatory reporting
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HST Offers Free Benchmarking Data to Power Long-Term ASC Success

See the Orthopedic specific benchmarks.

This data represents 437,971 unique cases across 338 centers.
(We only pulled data from clients who gave us permission, and we omitted any extreme outliers.)

Net Revenue Per Case

Orthopedics
Net revenue per case grew 11%—up from $4,678 to $5,193.
Total Joint
Net revenue per case rose 7.5%—from $14,919 to $16,038.
Spine
Net revenue per case fell from $6,854 to $6,255—an 8.7% decrease.
Beyond patient outcomes, profitability is a top priority for ASCs. Monthly financial reviews help identify trends and address issues quickly. Using analytics tools and standardized reporting ensures data-driven decisions, improving revenue, controlling expenses, and maintaining long-term financial stability.
READ ALL THE SPECIALTY BENCHMARKS

Frequently Asked Questions

We aren’t ready to move away from paper charting. Can we still use HST without the electronic charting solution?

Yes, it’s completely possible to use HST and do paper charting. You can use HST for the financial management side, and we can even make it easy to print out paper chart packs with all the case info.

Do you integrate with the physician practice and hospital software used at sister facilities?
We understand the importance of connected technologies across the continuum of healthcare, and we’re committed to interoperability because healthcare teams are better together. Our platform integrates with a wide range of physician and hospital systems to support seamless workflows. See the HST integrations overview page to check specific interfaces.
Our staff and surgeons are already stretched thin—will adoption be painful?

Of course, any change requires some new learning. Dean Ward from Aspen Surgery Center talked about their implementation experience with HST: “For a center of Aspen’s size—with 10 ORs across two locations—this was by far the smoothest implementation I’ve experienced. The collaboration and transparency made all the difference.”

As he said, customers have found this to be a smooth and quick process. Our customer support and success teams offer proactive monitoring, tactical insights, and quarterly check-ins. We provide practical, customized training and consultant packages to help you address challenges and improve operations, with continuous support every step of the way.

Ready to Transform Your ASC?

See how our cloud-based ASC platform can improve your center’s efficiency and help you with proactive operations. ​

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Ready to Transform Your ASC

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SOLUTIONS

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Surgery Center Management
Electronic Charting
Scheduling & Care Communication
Patient Estimates
Patient Engagement
Case Profit Estimations
Patient Payments
Raw Surgery Center Data

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Customer Stories
HST ROI Calculators
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Compliance, Privacy, and Security Overview
Your Guide to ASC Software
Your Guide to ASC EMR Systems

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