Feasibility Study

• Volume review
• Managed care review/net revenue review
• Staffing needs
• Facility requirement
• Equipment requirements
• Operating Capital requirements
• Projected Operating Budget
• Cash on Cash Return on Investment (ROI)

Certificate of Need filing

• Research and data collection
• Demographic and state data
• Health care metrics
• Detrimential effects
• Assist with LOI filing
• Document preparation for attorney review and presentation
• Presentation at review board meeting
• Post approval data submission and quarterly filings
• Any contested case work with attorney

Project Scheduling

• Develop project schedule
• Revise and report project schedule updates

Site Selection

• Work with realtor on specifics of property needed
• Review all contractual/written documentation
• Perform analysis of similar locations

Architect Selection and Consultation

• Selection of architect to ensure appropriate background and experience and cost
• Work with architect to lay out appropriate schematic
• Establish work flow charts for utilization of growth and expansion
• Ensure schematic is efficient for staffing

Construction Management

• Issue requests for proposals (RFP). Manage RFP process.
• Analyze, report and recommend selection
• Monitor the construction process throughout the schedule

Private Placement Memorandum Preparation/Syndication

• PPH will work with initial partners and external attorneys to produce a partnership agreement and subsequent PPM that will be used for syndication
• PPH will coordinate the syndication via site visits with existing and potential investors, SEC filings, fund collections, etc.

Licensing, Certification and Accreditation Services

• Prepare licensure and Medicare application packet Monitor progress of licensing and certification process
• Supervise Life Safety Code documentation and submission
• Monitor Department of Licensing and Certification process to expedite completed packet
• Governing Body organization and documentation Medical Staff By Laws
• Physician and ancillary Credentialing Procedure Lists and Formulary Personnel
• Policies and Procedures Manuals
• Quality Improvement Program
• Mandatory Service Agreements
• Coordinate licensure and Medicare Survey

Initial Staffing

• Provide staffing plan and job descriptions
• Recruit and hire Administrator
• Recruit and hire DON
• Provide support and guidance in staffing selection
• Provide initial employee training
• Establish employee benefits plan
• Provide personnel policy manual

Business Office Set Up

• Recruit and hire business office manager
• Arrange and coordinate purchase and installation of appropriate hardware and software
• Obtain local business license
• Establish bank and deposit accounts
• Set up coding service
• Set up transcription service
• Set up purchasing contracts

Payer Contracting

• Establish a plan for contracting with third party payers
• Contract negotiations with selected third party payers
• Ensure appropriate contract deal points: rates, implants, multiple procedures, out of network benefits,ungrouped codes, etc.

Marketing

• Assist and coordinate in design of collateral marketing materials
• Coordinate grand opening events for physicians, payers and general public
• Yellow page ads

Compliance Audit

• Licensure, certification and accreditation documentation
• Governing board recording and reporting
• Medical staff bylaws
• Credentialing and privileging processes
• Employee evaluations and employee file content
• Policies and procedures
• Quality Improvement program and activities
• Contracts and services agreements with outside services
• HIPAA compliance

Accounting

• Financial record preparation including general ledger, income statement, balance sheets and statement of cash flows
• Bank account management
• Tax return oversight
• Budget preparation annually, by month
• Benchmarking and goal setting compared to industry, other like partnerships
• Billing training and coordination
• Accounts receivable policy and procedure as well as management

Management

• Coordinating and supervising all financial and accounting operating systems.
• Managing all personnel matters, including supervision of record keeping, payroll preparation and payroll associated duties with federal, state and local laws and regulations.
• Reviewing all monthly financial statements in accordance with the provisions of bank loan requirements, if any, and otherwise monitoring loan compliance.
• Supervise and provide reports on all operational aspects of the ASC.
• Supervise, coordinate, facilitate and report the performance of annual strategic planning functions for the ASC.
• Establish, monitor and present key performance indicators including financial statements and graphical interpretations on a monthly basis.
• Develop and provide direction to operational committees, including, without limitation, quality assurance, safety and credentialing.
• Coordinate with clinical personnel to development and maintenance of cost-effective services.
• Supervise billing, collections and accounts receivables management when provided in-house by ASC personnel.
• Assist in the recruitment of new non-physician employees.
• Pursue and obtain managed care contracts.
• Supervise and coordinate the selection and on-going operation of management information system.
• Oversee all record maintenance for compliance.
• Evaluate and recommend vendors and equipment as needed.
• Assist in the determination of appropriate charge structure and pricing.
• Assist in the implementation of policies and procedures.
• Arrange for appropriate ASC insurance coverage.
• Oversee compliance (including HIPAA compliance),
  licensure and accreditation programs and activities common to other ASCs.
• Provide reports on performance measures common in the surgical center industry.
• Review all expenditures, salary ranges, and performance, cost controls, purchasing patterns, and discounts.
• Coordinate appropriate training for all staff member’s individual job tasks.