What we do

Connecting expertise with opportunity to help OBLs and Ambulatory Surgery Centers (ASC) thrive.

Starting a New OBL

Opening a new OBL can feel overwhelming—but it doesn’t have to. Whether you're just beginning to explore the opportunity or ready to take the next step, we’ll help you define a clear plan and connect you with partners who’ve done it before.

Get started

Regulatory & licensing

Getting licensed and compliant is foundational—but the requirements vary by state and care model.

Certificate of Need (CON) if required
State facility registration and inspection
OSHA and workplace safety compliance
Business licensing, determination of the right organizational structure
Accreditation evaluation benefit based on state (necessity vs benefit)

How we help

We’ll help you clarify your regulatory requirements and determine if legal or compliance support would streamline your launch process.

Reimbursement strategy

Financial viability depends on understanding payor mix, coding, and revenue potential.

CPT coding alignment for top procedures
Payor contract evaluation guidance & negotiation
Medicare/Medicaid enrollment
Volume and case-mix modeling

How we help

We’ll help you assess your reimbursement model and determine if additional support—like coding strategy or billing guidance—could improve your financial outlook.

Equipment selection

Workflow efficiency

Site selection or buildout

Your space is one of the most important—and expensive—early decisions.

Lease vs. own guidance
Site evaluation for zoning, access, and compliance
Construction & architectural planning and contractor selection and coordination
Furniture, fixture, and finishes decisions based on ambience & economics
Space planning for procedure rooms, medical supplies & necessities, and recovery area

How we help

We’ll help you assess where you are in the site selection or buildout process and determine what support might be helpful for your next steps.

Staffing & workflow

Optimizing an existing OBL

Your OBL is established, and you're ready to take the next step. Whether you're focused on improving margins, streamlining operations, or preparing for future growth, we can help you identify opportunities and strengthen your model for what’s ahead.

Get started

Procedure strategy

Optimizing your procedural mix can strengthen both patient care and financial sustainability.

Align services with community needs and patient gaps
Optimize CPT coding, reimbursement, and hybrid OBL/ASC conversion opportunities
Explore provider recruitment tied to strategic service growth
Evaluate opportunities to expand your procedural mix

How we help

We’ll help you review your current procedural mix and consider whether coding alignment, service expansion, or site-of-care strategy could support your broader goals.

Revenue & reimbursement

Even small inefficiencies in billing or payor strategy can have a significant impact on long-term financial performance.

Claims processing, payor turnaround, and charge master maintenance
Denials, underpayments, and A/R trends
Billing systems (in house, EMR-based, or third-party), staffing, and collections
Contract review, rates, and payor negotiation

How we help

We’ll help you assess your existing systems and strategies, and recommend improvements that could better support your financial and operational goals.

Supply chain support

Your OBL’s success depends on having the right product, at the right price, at the right time. A smart supply strategy supports clinical readiness and long-term cost control.

Value-based purchasing and supply standardization
GPO participation vs. direct sourcing strategy
Inventory systems and vendor management

How we help

We’ll help you review your current purchasing strategy and determine whether supply chain changes—like GPO participation or standardization—could improve cost-efficiency and support clinical needs.

Equipment evaluation

Workflow efficiency

Small improvements in patient movement or procedure timing can make a meaningful difference in capacity, staff morale, and overall efficiency.

Pre-procedure testing workflows and compliance
Bottleneck identification and room turnover adjustments
Throughput and case pacing analysis

How we help

We’ll help you identify where your current operations may be creating friction and consider whether layout changes or workflow planning could improve flow, efficiency, and revenue.

Converting to ASC

Converting to an ASC is a major step that can unlock new reimbursement opportunities and expand procedural capabilities—but it requires the right timing, strategy, and partners. Whether you're exploring hybrid models or transitioning to an ASC, we can help you understand your options and chart a path forward.

Get started

Regulatory & licensing

Real estate & facility planning

Converting to an ASC may require modifying your existing space—or finding a new one.

Lease vs. own strategy
Zoning, access, and utility requirements
Architectural planning and contractor selection
Space planning for procedures, recovery and storage

How we help

We’ll help you consider what’s possible in your current space and whether it’s worth exploring relocation, redesign, or new construction to support your transition.

Reimbursement & procedure mapping

Moving to an ASC model changes how procedures are reimbursed - affecting eligibility, coding, and site-of-service strategy.

Procedure eligibility under ASC coverage
CPT coding and payment rates changes
Hybrid OBL/ASC model evaluation

How we help

We’ll help you look at how your current procedures could be reimbursed in an ASC setting—and consider whether outside guidance or modeling might support your planning.

Staffing & scheduling changes

Retiring or selling

Whether you're planning your retirement or beginning to explore exit options, transitioning your OBL is a major decision. We’ll help you understand your options, protect what you’ve built, and move forward on your terms.

Get started

Practice valuation

Finding buyers

Continuity planning

Planning for a smooth transition includes defining your timeline, your role, and how you’ll keep your team and patients informed.

Transition timeline and post-sale involvement
Staff retention and internal communication
Referral continuity and reputation protection

How we help

We’ll help you think through key considerations and explore whether transition planning support would be valuable for your situation.

Legal & financial support

We’re invested in your success.

What we do

Connecting expertise with opportunity to help OBLs and Ambulatory Surgery Centers (ASC) thrive.

Starting a new OBL

Optimizing an existing OBL

Converting to ASC

Retiring or selling

Starting a New OBL

Regulatory & licensing

Reimbursement strategy

Equipment selection

Workflow efficiency

Site selection or buildout

Staffing & workflow

Optimizing an existing OBL

Procedure strategy

Revenue & reimbursement

Supply chain support

Equipment evaluation

Workflow efficiency

Converting to ASC

Regulatory & licensing

Real estate & facility planning

Reimbursement & procedure mapping

Staffing & scheduling changes

Retiring or selling

Practice valuation

Finding buyers

Continuity planning

Legal & financial support

We’re invested in your success.

No fees. No obligation. Just personalized guidance—at no cost to your practice.

What we do

About

Resources

Contact us