Case done, claim unbilled, implant carve-out still unpaid.

A fixed fee for one business office, six to eight weeks. Discovery measures staff hours and cash timing: where the hours go and where cases wait between booking and payment. You get a workflow map and a fixed-price proposal for the first build, then decide: build it yourself, have us build and run it, or stop there.

With one business office, at a center or the CBO. Discovery records how work moves between HST, SIS, AdvantX, Epic where a hospital partner hosts it, payer portals, the clearinghouse and contract data. Builds run on access your authorized staff grant.

Yes, as paperwork: the PO for bill-only and consigned implants, and the invoice matched to PO and claim where the contract carves the implant out. Medicare packages device cost into the ASC payment unless the device has pass-through status. Product choice stays with your surgeons.

Yes, the paperwork: adjuster authorization before the case, billing against your state fee schedule, and letters of protection and lien tracking for PI cases. Settlement decisions stay with your team.

Yes. As the convening facility you owe a self-pay estimate within one business day when the case is booked 3 to 9 business days out, and within three when booked 10 or more out. Automation drafts it from your fee schedule; your staff send it.

As of November 2026, CMS's WISeR model (2026 to 2031) requires prior auth or pre-payment review for selected ASC services, such as knee arthroscopy, in participating states including Texas, Ohio and New Jersey. We add those cases to one auth queue with commercial and Medicare Advantage.