Ambulatory surgery center software that clears every case before the patient leaves home
An ambulatory surgery center is a facility that operates exclusively to provide surgical services to patients who do not require hospitalisation, where the expected duration of services does not exceed 24 hours after admission. The Medicare conditions for coverage sit in 42 CFR part 416, and more than 6,000 centres are certified under them. Neurobird posts cases, tracks pre operative readiness and measures real case minutes instead of estimates.
Neurobird Ambulatory Surgery Center in short
- Post cases with the room, block, surgeon and expected minutes in one place
- Track pre operative requirements per case and flag the ones that will cancel
- Confirm implants, trays and vendor reps against the posted case rather than by text
- 24 hours The regulatory definition of an ASC turns on the expected duration of services not exceeding 24 hours following admission, which is why overnight stay policy is a certification question and not a clinical preference. eCFR, 42 CFR 416.2
- 42 CFR 416 The full conditions for coverage: governing body, quality assessment, environment, infection control, patient rights, medical staff, anaesthetic risk and discharge. eCFR, 42 CFR part 416
- Pricing runs 180 to 700 US dollars per month across 3 tiers. Early access is free.
What ambulatory surgery center administrators actually deal with
Why it stays broken
An ASC runs on 4 systems that do not talk: the practice schedule, the clinical record, the supply catalogue and the surgeons' phones. So the coordinator becomes the integration layer, and the integration layer goes on holiday in August.
A single day of surgery cancellation on a 6 case room burns roughly 480 minutes of built capacity.
Humans are the only species on earth whose young are not ambulatory within hours of birth .
Neurobird Ambulatory Surgery Center Revenue Recovery Platform
Make the posted case the single object everything hangs off. Clearance, supply, staffing and time all attach to it, so the gaps show up 2 days out rather than at 07:10.
- 1Post cases with the room, block, surgeon and expected minutes in one place
- 2Track pre operative requirements per case and flag the ones that will cancel
- 3Confirm implants, trays and vendor reps against the posted case rather than by text
- 4Measure real case minutes and turnover so block time decisions rest on data
What changes with Neurobird Ambulatory Surgery Center?
The same work, read left to right: how it runs today, and how it runs once the record is in one place.
| Today | With Neurobird Ambulatory Surgery Center |
|---|---|
| The schedule is built in one system, the implant and vendor confirmations happen over text, and the two only meet on the morning of surgery | Post cases with the room, block, surgeon and expected minutes in one place |
| A history and physical that is 31 days old cancels a case at 07:10, after the patient has arrived and the room is set | Track pre operative requirements per case and flag the ones that will cancel |
| Block time utilisation is discussed in a monthly meeting from a report nobody trusts, because the case minutes were typed from memory | Confirm implants, trays and vendor reps against the posted case rather than by text |
Who is this for?
Same case day, three different pressures.
You run high volume, low variation
Cataracts or scopes, 20 or more cases in a day. Minutes and turnover are the whole economics, so you need real recorded time.
You juggle 6 surgeon preferences
Every service line has its own trays, implants and vendor reps. You need supply confirmation tied to the posted case.
You report to two boards
Utilisation, cancellation and case costing get asked for in different formats. You need one recorded set of numbers behind both.
What the Medicare rules actually require
Useful if you are opening a centre or preparing for survey. Each source links out.
The regulatory definition of an ASC turns on the expected duration of services not exceeding 24 hours following admission, which is why overnight stay policy is a certification question and not a clinical preference.
eCFR, 42 CFR 416.2The full conditions for coverage: governing body, quality assessment, environment, infection control, patient rights, medical staff, anaesthetic risk and discharge.
eCFR, 42 CFR part 416A comprehensive medical history and physical assessment must be completed within the window before surgery set out in the anaesthetic risk and evaluation condition, which is the single most common day of surgery cancellation reason.
eCFR, 42 CFR 416.42Medicare updates the ASC payment rates and the list of covered surgical procedures every calendar year, so the case mix that was profitable last year may not be this year.
CMS, ASC payment systemA centre has to be surveyed and certified against the conditions for coverage before it can bill Medicare, and resurvey is on a recurring cycle.
CMS, ASC certification and complianceHow does Neurobird Ambulatory Surgery Center work?
Post the case once
Room, block, surgeon, procedure, expected minutes and implant needs captured at posting rather than assembled later.
Clear it before the day
Every pre operative requirement is a checkable item with an owner and a deadline, including the 30 day history and physical window.
Measure what actually happened
Real in room, out of room and turnover minutes, so block release and utilisation conversations rest on recorded time.
The case day, as your coordinator would run it
A working preview. Tick an item to clear it for the schedule.
| Line item | Amount | |
|---|---|---|
| Implant tray, vendor confirmed | $1,840 | |
| OR 2, arthroscopy, 07:30 | $620 | |
| Anesthesia coverage, room 3 | $3,275 | |
| OR 1, cataract block of 8 | $455 |
Click recover to add a missed line to the invoice.
Ambulatory surgery center software questions, answered
Key terms
- What is an ambulatory surgery center?
- An ambulatory surgery center is a facility that operates exclusively to provide surgical services to patients not requiring hospitalisation, where the expected duration of services does not exceed 24 hours after admission. That 24 hour ceiling is the definition Medicare uses in 42 CFR 416, and it is what separates an ASC from a hospital outpatient department.
- What are the Medicare conditions for coverage?
- They sit in 42 CFR part 416 and cover governing body, quality assessment, environment, infection control, patient rights, medical staff, anaesthetic risk evaluation and discharge. Section 416.42 requires a history and physical, and the centre has to be surveyed and certified before it can bill Medicare.
How is ASC payment different from hospital outpatient?
Medicare pays ASCs under a separate payment system with its own list of covered surgical procedures and its own annual rate update. The same procedure typically pays less in an ASC than in a hospital outpatient department, which is why case costing and supply capture matter more here.
Why do cases cancel on the day of surgery?
Usually a documentation or clearance gap rather than a clinical one. A history and physical outside the required window, a missing anaesthesia clearance, an unconfirmed implant, or an NPO instruction the patient did not follow. Almost all of these are visible 48 hours earlier if anyone is looking.
Does this replace our EHR or billing system?
No. It sits in front of them. The clinical record and the claim stay where they are. Case posting, pre operative readiness, supply confirmation and utilisation reporting are the parts that currently live in phone calls and a whiteboard.
Why we are building this
A surgery centre is a capacity business pretending to be a clinical one. The clinical work is excellent and well drilled. What loses money is a room sitting idle because a history and physical was 31 days old.
Almost every day of surgery cancellation is visible 48 hours earlier. The information exists, it is just scattered across a schedule, a chart, a text message and somebody's memory.
We would rather build this with administrators who run case days. Tell us how yours works, and where we have got it wrong.
Where the requirement comes from
The federal conditions and payment rules that govern a certified centre.
- eCFR, 42 CFR part 416 The complete Medicare conditions for coverage for ambulatory surgical services, including the 24 hour definition.
- eCFR, 42 CFR 416.42 anesthetic risk and evaluation The history and physical requirement and the pre surgical assessment duties that drive day of surgery cancellations.
- CMS, ASC payment system The annual rate update, the covered surgical procedures list and the payment policy files.
- CMS, ASC certification and compliance How a centre is surveyed and certified against the conditions for coverage.
How much does Neurobird Ambulatory Surgery Center cost?
Priced per operating room because that is the unit of capacity. Unlimited users, surgeons and cases on every tier.
- Case posting
- Pre operative checklists
- Day of surgery board
- Case minute capture
- Email support
- Everything in Single room
- Block time utilisation
- Implant and vendor confirmation
- Cancellation reason tracking
- Named contact
- Everything in Center
- Cross centre reporting
- Survey readiness documents
- Case costing by procedure
- Onboarding included
Get free early access
If you run a surgery centre, tell us how cases get posted today and what actually causes your cancellations.
Straight answer on where this is: In development. Early access gets the working preview, influence on what ships first, and early access pricing. It does not get you a login today.
Prefer email? Write to office@neurobird.com and a person will reply. No autoresponder.