# 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.

- URL: https://neurobird.com/ascops/
- Product: Neurobird Ambulatory Surgery Center Revenue Recovery Platform
- Niche: ambulatory surgery center
- Buyer: ambulatory surgery center administrators
- Status: in development, open for early access
- Updated: 2026-08-21

## What Neurobird Ambulatory Surgery Center does

- 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
- Measure real case minutes and turnover so block time decisions rest on data

## How it works

1. **Post the case once** Room, block, surgeon, procedure, expected minutes and implant needs captured at posting rather than assembled later.
2. **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.
3. **Measure what actually happened** Real in room, out of room and turnover minutes, so block release and utilisation conversations rest on recorded time.

## From the source material

> Humans are the only species on earth whose young are not ambulatory within hours of birth .

Source: dictionary.cambridge.org, https://dictionary.cambridge.org/dictionary/english/ambulatory

## Industry context

- **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. (source: eCFR, 42 CFR 416.2, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-416/subpart-A/section-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. (source: eCFR, 42 CFR part 416, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-416)
- **30 days** A 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. (source: eCFR, 42 CFR 416.42, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-416/subpart-C/section-416.42)
- **Annual** Medicare 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. (source: CMS, ASC payment system, https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc)
- **Survey** A centre has to be surveyed and certified against the conditions for coverage before it can bill Medicare, and resurvey is on a recurring cycle. (source: CMS, ASC certification and compliance, https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/ascs)

## Pricing

- Single room: $180 per room, per month
- Center: $400 per room, per month
- Multi center: $700 per room, per month

## Questions

### 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.

## Sources

- [eCFR, 42 CFR part 416](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-416)
- [eCFR, 42 CFR 416.42 anesthetic risk and evaluation](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-416/subpart-C/section-416.42)
- [CMS, ASC payment system](https://www.cms.gov/medicare/payment/prospective-payment-systems/ambulatory-surgical-center-asc)
- [CMS, ASC certification and compliance](https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/ascs)

## Contact

- office@neurobird.com
- https://neurobird.com/