ASC Services

First Step analysis

PINNACLE III's free First Step analysis is a brief but thorough business study of your proposed new service. We collect basic data from your practice and provide you with a financial sketch. It's the First Step to success.

Ambulatory Surgery
Clinical Operations & Development

PINNACLE III manages all aspects of the operational development of your joint ventured Ambulatory Surgery Center and delivers proven success in both single and multispecialty ASCs throughout the country. Whether you are a hospital, physician/hospital joint venture or physician owned surgery center, PINNACLE III delivers proven success in both single and multi- specialty ASCs throughout the country. Fees, negotiated by PINNACLE III and the client prior to initiation of the project, are based on the size and scope of the project. Services include the following items, resulting in a thorough, turn-key development process.

	“The quality of management companies differs substantially across the board. However, a center planned and executed by an intelligent and strong management company still has a much greater chance at success than a physician only center or a center planned without a management company or with a poor management company.” Quote by Scott Becker, esquire, McGuire Woods.

"Some surgeons believe they can develop a surgery center without the help of a professional development company. That choice won't endear them to a lender. Lenders favor an experienced team handling the development: dedicated real estate, financial, and management experts. A development company will often coordinate the preparation of the necessary legal documentation; including LLC agreements, management agreements, subscription agreements and an offering memorandum. These tend to be detailed and highly technical documents with which development companies work with often and understand the terminology and procedures. Lenders usually feel more confident when professional developers have been involved in the process." Quote by Anthony Mai. of CIT Healthcare, a unit of CIT Group, Inc. A leading global commercial finance company that provides financial products and advisory services to more than one milion customers.



Details of Service

Financial Development

[ CLOSE ]

Providing a complete set of financial data to project:
- Facility revenues
- Operational costs
- Profits
Assisting in the facility conceptual space plan
Estimating capital equipment expenditures
Recommending financing strategies
Projecting 5 year cash flow statement
Projecting 5 year profit and loss statement
Identifying top payors to prioritize contract negotiations
Offering on-site presentation to physicians and facility partners

Physician Recruitment/Syndication	[ LEARN MORE ]
Establishing pre-syndication meeting schedules Conducting meetings with prospective surgical groups and individual surgeons Facilitating data collection from prospective surgeons for financial pro forma
Building Design and Development	[ LEARN MORE ]
Providing early, as well as ongoing, reviews of architectural plans and space design with client, architect, and contractor Working closely with contractor to ensure timelines, quality standards and budgets are achieved Procuring capital equipment Working with architect and contractor in establishing equipment cut sheets Facilitating final facility walk through and punch list
Organizational Structure Development	[ LEARN MORE ]
Establishing governance structure, governance documents, medical staff bylaws, rules and regulations Establishing Board of Managers Guiding selection of Medical Director, Medical Advisory Committee, QA Committee and key staff Obtaining required State Licensure and Medicare Certification through active participation in licensure and certification surveys Obtaining business license, if needed Assisting in client’s selection of identity and logo
Operational Systems	[ LEARN MORE ]
Assisting legal counsel with bylaws Hiring on-site Clinical Director Assisting Clinical Director in: Hiring and training staff Setting up employee files Developing staffing plans Establishing vendor relations with competitive price points Developing and implementing employee benefit package Designing and drafting policies and procedures Overseeing protocols required by State licensing organization Preparing staff for Medicare certification process Procuring necessary transfer agreements Establishing protocols for anesthesia, laboratories, laundry, housekeeping, and other outsourced services Guiding client in selection and implementation of management information systems Facilitating the integration of systems between facility and group practice(s) to establish economic and systematic efficiency Negotiating third-party payor contracting Establishing fee schedule for client review Developing and implementing recommended credentialing procedures Identifying potential Group Purchasing Organization (GPO) arrangements Arranging for general liability, malpractice, and contents insurance Drafting and implementing clinical, business office, and human resources forms Ordering and stocking supply inventories Assisting with data entry of inventory variables into management information system Developing and implementing physician block schedule Coordinating staff in-services on mechanical systems (emergency generator, nurse call system, fire system, security system, etc.) Assisting in coordination of the move into and setting up of the center

Ambulatory Surgery
Clinical Operations & Management

PINNACLE III manages all aspects of your Ambulatory Surgery Center. Whether you are a hospital, physician/hospital joint venture or physician owned surgery center, PINNACLE III delivers proven success in managing single and multi specialty ASCs throughout the country.

Services Include	[ LEARN MORE ]
Negotiating and reviewing third party payor contracting annually Implementing and monitoring monthly/quarterly financial and statistical reports Preparing annual operating agreements and capital budgets Implementing and managing key indicators Monitoring clinical, financial and operations benchmarking against national standards Maximizing scheduling efficiencies Establishing and monitoring surgeon utilization reports Maintaining clinical and operational compliance Enhancing revenues and supporting future center development Participating on Governing Board to ensure fiscally responsible decision making Maintaining compliance with system efficiencies, policies and procedures Supporting ongoing hiring, education, and training Assisting with implementation of a comprehensive marketing plan and budget Providing risk management and human resource support Designing inventory control mechanisms Purchasing capital equipment while maintaining a focus on controlling capital expenses Monitoring patient satisfaction reports Providing updated information on legislative and regulatory issues Maintaining accreditation requirements and supporting agency surveys
PINNACLE III Differentiators	[ LEARN MORE ]
*Offering equity and non equity models* Providing full turnkey development with no outsourcing for equipment procurement or managed care contracting. Our services take you from financial development through State Licensure and Medicare certification. Offering PINNACLE CBO: A centralized billing office providing you with streamlined billing and collections, ability to minimize administrative overhead, and allocate every square foot of your medical space to revenue producing ventures. This is a separate servic agreement. Extending flexibility and innovation to individualize our services to meet the needs of your group and the community in which you practice. Providing Capital expenditures and supply discounts below standard Group Purchasing Organization (GPO) pricing to both the facility and individual physican offices. Offering "PIIIRx", a unique pharmaceutical service that assists] physicians and ASCs in the design, development, administration, and suport of revenue producing, profitable "point-of-care" dispensing systems. Offering savings on liability, property and casualty insurance. Assisting with JCAHO and AAAHC preparation. Providing Net Learning curriculum for all clinical staff Providing strategic growth planning for your ASC and physician practices. Implementing electronic file management systems. Delivering success in revitalizing existing centers. IT specialists with national ASC/MOB experience priced below market rates

ASC Services

First Step analysis

Ambulatory Surgery Clinical Operations & Development

Details of Service

Ambulatory Surgery Clinical Operations & Management

Ambulatory Surgery
Clinical Operations & Development

Ambulatory Surgery
Clinical Operations & Management