Ambulatory Surgery Center

Complete ASC Development โ€” From Concept to First Claim

From feasibility assessment through licensing, build-out, and revenue cycle management โ€” REL1EF guides physician-owned ASCs from day one to first dollar collected.

2โ€“6ร—
Higher Reimbursement
vs. office-based
State + CMS
Full Licensing
Handled end-to-end
6โ€“12 mo
Go-Live
Concept to claims
ASC Basics

What Is an Ambulatory Surgery Center?

An ASC is a licensed outpatient surgical facility where procedures are performed that don't require an overnight hospital stay. Physician-owned ASCs give surgeons direct control over scheduling, staffing, equipment, and reimbursement โ€” often at significantly higher rates than office-based settings.

๐Ÿ’ก Why Open an ASC?

Five Reasons Physicians
Choose ASC Ownership

An ASC isn't just a facility โ€” it's a revenue strategy. Here's why physician-owned surgery centers outperform traditional models.

๐Ÿ’ฐ Higher Reimbursement ๐Ÿ›๏ธ Physician Ownership โšก Faster Patient Throughput ๐Ÿ“‰ Lower Facility Costs ๐Ÿ“„ Full Billing Support
ASC vs. Office-Based Reimbursement
Office-Based Procedure$800โ€“$2K
Hospital Outpatient$3Kโ€“$8K
Physician-Owned ASC$2Kโ€“$6K+
Reimbursement varies by specialty, payer, and procedure. Contact us for projections specific to your practice.
Development Timeline

From Concept to First Claim

Five phases to a fully operational, revenue-generating ambulatory surgery center.

01
Feasibility
Market analysis, financial projections, case volume modeling, and specialty-specific ROI assessment to validate the ASC opportunity.
02
Formation
Entity structuring, partnership agreements, operating agreements, and governance frameworks for physician-owned models.
03
Licensing
State licensure applications, CMS certification, accreditation coordination (AAAHC/AAAASF), and payer enrollment.
04
Build-Out
Facility design consultation, equipment procurement guidance, EHR integration, staffing models, and operational readiness.
05
First Claim
Revenue cycle launch โ€” coding, charge capture, claims submission, payment posting, and OON negotiation from day one.
Physician Ownership

Built for Physician-Owned Models

REL1EF specializes in ASCs where physicians retain ownership and control. We handle the business complexity so you can focus on surgical outcomes.

๐Ÿ›๏ธ

Entity Structuring

LLC/LP formation, partnership agreements, and governance structures designed for physician-owned ASCs and compliant with Stark/Anti-Kickback regulations.

๐Ÿ“Š

Financial Modeling

Pro forma development, case volume projections, payer mix analysis, and break-even modeling to validate the investment before you commit capital.

โš™๏ธ

Operational Setup

Staffing plans, supply chain setup, policy and procedure development, and EHR configuration tailored to your surgical specialties.

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Compliance & Accreditation

State survey preparation, AAAHC/AAAASF accreditation support, quality assurance programs, and ongoing compliance monitoring.

๐Ÿ“„ ASC Billing

Full Revenue Cycle
for Surgery Centers

ASC billing is a different animal โ€” facility fees, implant coding, multi-procedure claims, and OON negotiation all require specialized expertise.

๐Ÿ”ข
ASC-specific CPT/HCPCS coding and charge capture
๐Ÿ“ค
Clean claims submitted within 48 hours of procedure
๐Ÿ’ฐ
OON negotiation for maximum facility reimbursement
๐Ÿ“Š
Monthly financial reporting and KPI dashboards
ASC Revenue Impact with REL1EF
Without OON Negotiation$1.2M
With REL1EF OON Layer$2.0M+
Revenue projections depend on case volume, payer mix, and specialty. Contact us for a custom analysis.
Operations

Complete ASC Operations

Beyond development โ€” REL1EF handles the day-to-day operational workflows that keep your surgery center running efficiently and compliantly.

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Pre-Op & Post-Op Instruction Management

Standardized pre-operative and post-operative instruction workflows โ€” compliant, patient-friendly, and integrated with your scheduling system.

๐Ÿ”ฉ

Implant & Product Billing

Accurate billing for implants, biologics, and high-cost supplies with manufacturer-specific coding and payer-compliant documentation.

๐Ÿค

Vendor Management & Rebate Programs

Negotiate vendor contracts, track rebate programs, and optimize supply chain costs across all surgical product categories.

โœ…

Surgery Schedule Authorization

Prior authorization management for every scheduled case โ€” verified, documented, and tracked to prevent last-minute cancellations.

Implementation

Full ASC Implementation Timeline

A de novo ASC from first meeting to first case โ€” every milestone mapped and managed by REL1EF.

01
Feasibility Study
Month 1โ€“2
Market analysis, financial projections, and partnership structure.
02
Architectural Design
Month 2โ€“4
Floor plans, equipment specs, and construction bidding.
03
Construction & Build-Out
Month 4โ€“8
Build-out management, inspections, and equipment installation.
04
Licensing & Accreditation
Month 6โ€“9
State licensing, CMS certification, and accreditation (AAAHC/Joint Commission).
05
Credentialing & Payer Enrollment
Month 6โ€“10
All surgeons and the facility credentialed with every target payer simultaneously.
06
First Case
Month 10โ€“12
Go-live with full billing, scheduling, and operational systems running from day one.

Timeline is typical for a de novo ASC. Acquisition and conversion timelines vary. REL1EF manages every phase โ€” you focus on surgery.

Get Started

Ready to Build
Your Surgery Center?

Start with the free A/R recovery trial to see our billing quality firsthand โ€” or contact us directly about ASC development.

โœ“Full development from feasibility to first claim
โœ“Physician-owned ASC specialists
โœ“No long-term contract required
Request an ASC Consultation
๐Ÿ”’ HIPAA compliant ยท BAA signed before any data access
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