Amblitel’s ASC Management Services are designed to strategically manage an ASC and position it for the long-term, increase profitability, improve cash flows, and reduce the complexity associated with operating a healthcare business for physician owners, hospital owners, and for onsite management teams. Amblitel ASC experts have been managing ASC since the late 1980s and have a depth and breath of knowledge not surpassed by any other ASC company.
ASC Management Scope of Services
Accounting and Financial Management
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.
Business Office Support
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
Materials and Inventory Management, Supply Cost Containment
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
Human Resources
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
Benchmarking
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
Marketing, Strategic Planning, and Client Satisfaction
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
Credentialing and Medical Staff Relations
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
Quality Improvement and Clinical Effectiveness
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
Payor Contracting
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
Board Relations and Communication
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