6 Questions To Ask Your ASC:

Does my center have the right number of surgeons to be successful? You may need to expand your physician ownership through a syndication or offering.

Are the surgeons involved, motivated and rewarded by success? You may need to strengthen your physician relationships. (It is too tempting to think there are "deadwood docs" and develop complicated strategies to eliminate them -- this should be a "last resort".)

Do all investors get accurate and appropriate reports on a timely basis? Information used properly motivates and educates everyone towards better performance.

Are you burdened by excessive debt or heavy lease payments? You may need to do a financial restructuring which could include additional physician investors (solves two problems).

Are you capturing and coding every procedure, every time? This is the "front end" of the revenue cycle that determines what you bill and what you collect. Review your systems and procedures on a quarterly basis. The right modifiers can make the difference between profit and loss.

Have you developed payor relationships appropriate to your market? Careful attention to contract terms and conditions -- not just pricing -- can make a significant impact to the bottom line results. (Be sure rates are entered into your billing system properly and updated regularly.)