Surgery Center

Surgery centers face many challenges going forward. Most pressing of these for most of them is maintaining or increasing volume, the acquisition of new physicians and/or surgeons, often being out of network, quickly verifying insurance benefits when in network, getting reimbursements when available, fast changing regulation, ICD-10 and EHR demands, Quality Net reporting, accurate case costing, negotiating contracts and fees, finding patient financing options, risk management, HR issues galore and how to do more with less resources.


In recent times, the RX4 Group and its sister companies in The Adaptive Healthcare Network have solved issues and
challenges in this area such as the following:

  • A medium sized surgery center is looking to lift revenues and profits and be more consistent (including finding ways to find new patients in current seasonal low-points).
  • A surgery center is trying to decide on in-network versus out-of-network as an overall strategy.
  • A large orthopedic surgery center wants to extend its operating hours and introduce a shift system to accommodate the needed change, which must be as acceptable as possible to all employees.
  • Because of declining out-of-network reimbursements from insurance companies, a surgery center needs to model what patients can be expected to pay out-of-pocket, train staff, and develop processes to go from being insurance-company centered in payment sourcing to patient-centered.
  • A surgery center wants to increase its level of same-day surgeries and wants to review how this might best be achieved operationally.
Call us on 310.736.4965 to discuss your specific needs and for a FREE consultation meeting.
For more information about our Surgery Center Support service, please CLICK HERE