Ambulatory Surgery Center (ASC) Development and Construction
Building an Ambulatory Surgery Center (ASC) is a complex and challenging process. From strategic planning to opening day, there are critical decisions to make, timelines to manage, and an endless list of tasks to complete. At Med Consulting Solutions (MCS), we simplify the journey with comprehensive support and decades of experience, so you can focus on delivering exceptional patient care.
Why Choose MCS?
With over 20 years of experience in ASC development and operations, MCS has successfully guided numerous projects, from single-room facilities to multi-specialty, state-of-the-art centers. Our expertise spans all phases of ASC development and includes:
- Over 200,000 square feet of medical and ASC space developed.
- Projects ranging from simple, single-room facilities to multi-room, multi-specialty suites.
- Partnerships with solo practices, multi-specialty groups, and single-specialty physician-owned facilities.
No matter the size or scope of your project, MCS delivers efficient, compliant, and customized solutions tailored to your specific needs.
Our Approach
No two ASCs are alike. MCS customizes every project to align with your goals, specialty, and local market conditions. Whether you’re starting from scratch or expanding an existing practice, we offer tailored solutions that address your specific challenges and aspirations.
Comprehensive ASC Development Services
- Feasibility Assessment
- Design and Planning
- Project and Construction Management
- Equipment Selection and Procurement
- Regulatory and Licensure Support
ASC Development Process: A Step-by-Step Guide
A) Project Introduction and Feasibility Assessment
- Meet with core physicians to define goals and vision for the ASC.
- Conduct site selection to identify an optimal location.
- Analyze market dynamics, including competition and regulations (e.g., Certificate of Need – CON).
- Execute a Non-Disclosure Agreement (NDA).
- Gather case and procedure volumes with associated CPT codes.
- Develop an initial proforma for financial feasibility.
- Review potential site with an architect and create an initial schematic.
- Hold a second meeting with additional physicians to refine case volume.
- Revise the proforma based on feedback.
- Secure signed Letters of Intent (LOIs) from participating physicians.
B) ASC Contractual Phase
- Obtain the Tax ID for the LLC.
- Draft initial partnership and operational agreements.
- Interview and select an architect.
- Execute the AIA document for architectural services.
C) Plans and Construction Phase
- Finalize the revised schematic with partnership approval.
- Complete construction plans and documents with the architect.
- Submit plans for approval to health and local authorities.
- Define IT support requirements (e.g., lines, drops).
- Manage bidding from general contractors (GCs).
- Select a GC for the project.
- Begin demolition and secure local permits.
Licensing and Certification Process
Opening an ASC requires meticulous adherence to state and federal regulations. At MCS, we guide you through every step to ensure compliance and expedite the approval process.
State Licensure
To participate in the Federal ASC program and receive facility fees from governmental payers, an ASC must first meet state licensure requirements. MCS ensures your facility is survey-ready and meets all necessary requirements.
Medicare Certification
After state licensure, the ASC must meet the Centers for Medicare and Medicaid Services (CMS) Conditions for Coverage to achieve Medicare certification. To ensure a smooth certification process, we guide you through:
- Hiring the Administrator at least 60 days before opening day.
- Hiring staff 4 weeks before obtaining the certificate of occupancy.
- Performing eight test cases for Medicare accreditation submission.
- Managing credentialing forms for other insurance providers.
Avoid Common Pitfalls
With MCS by your side, you can avoid common ASC development challenges, such as:
- Overbuilding or underbuilding your facility.
- Prolonged licensure and accreditation timelines.
- Delayed governance and operational readiness.
- Insufficient surgeon engagement during development.
Partner with MCS
From concept to completion, MCS provides a full-service team of ASC development experts. Whether you’re an independent physician or part of a healthcare system, our customized approach ensures a seamless process, enabling you to focus on your patients and practice.
Contact us today to begin your ASC journey.