01
Clearance tracking
Pre-admission calls and history and physical tracking for every booked case.
Healthcare / Ambulatory Surgery Centers
ASC software from case booking to discharge
An ambulatory surgery center runs a full surgical day in hours: cases booked, patients cleared, rooms turned, implants logged and every patient sent home with a responsible adult. Agnotic Technologies builds ASC software for that day, with the Conditions for Coverage records captured on the screens staff already use.
Clearance
H&P in the chart before surgery
Implants
Captured by UDI scan
Discharge
Order, instructions and escort
Trusted by global innovators
Industry Overview
What is ASC software?
ASC software is the system an ambulatory surgery center uses to book cases and block time, clear patients before surgery, track supplies and implants on preference cards, document the operative and recovery record, discharge under the Conditions for Coverage and send facility claims. Agnotic Technologies builds it for surgery centers and their physician owners.
Industry Challenges
Where does a surgery center's day go wrong?
The failure points we design against first, because each one delays a case or leaves a gap in the record.
The history and physical is still missing on the morning of surgery, and the case is held while staff chase the surgeon's office.
Block time goes unused because release rules live in a scheduler's head, not in the system.
An implant is used but its lot and serial number are written on a sticker sheet, not captured in the record.
A preference card lists supplies the surgeon stopped using, so trays are opened and wasted.
A patient is ready to leave but has no confirmed escort, and nobody knew until recovery.
The facility claim goes out without the implant charges, because supply data never reached billing.
Our Approach
How should a surgery center approach the build?
Three decisions we make with your administrator, nursing leads and billing team.
Make clearance a gate, not a reminder
A case cannot move to the day's schedule as ready until the required history, physical and pre-surgical assessment are in the record.
Scan once, use everywhere
An implant scanned in the room updates the operative record, inventory and the claim from the same scan.
Plan discharge at booking
The responsible adult and the discharge instructions are confirmed before surgery, so recovery is not where the gaps are found.
Capabilities
What do we build into ASC software?
Modules for how to build ASC software around one surgical day.
Case booking and block time
Requests from surgeon offices, block schedules with release rules and room assignment.
Pre-admission clearance
History and physical tracking, pre-admission calls and clearance gates per case.
Preference cards and implants
Cards per surgeon and procedure, with supply use and UDI scanning for implants.
Operative and anesthesia record
Findings, techniques, anesthesia entries and specimens recorded during the case.
Recovery and discharge
Post-surgical assessment, discharge order, written instructions and escort confirmation.
Patient rights and consent
Rights notices and consent captured before the procedure starts.
Facility billing
Facility claims with procedure, supply and implant data, sent through your clearinghouse.
Quality data capture
The data elements your quality reporting needs, captured during the day.
How It Works
How does one patient move through an ASC day?
The path we build for a single case, from the booking request to the claim.
Book
The surgeon's office requests a case in a block; the room, time and preference card are set.
01
1
Clear
The pre-admission call, history and physical and test results are tracked until the case is cleared.
02
2
Admit and assess
On arrival, the pre-surgical assessment records allergies and the rights notice and consent are captured.
03
3
Operate
The operative and anesthesia record is completed, and supplies and implants are scanned.
04
4
Recover
The post-surgical assessment is documented and post-surgical needs go into the discharge notes.
05
5
Discharge
The signed discharge order, written instructions and the responsible adult are confirmed.
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6
Bill
The facility claim is built from the case, supplies and implants and sent to the payer.
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7
Engineering Stack
Systems and standards behind ASC software
Chosen to fit your EHR, inventory and billing setup. We build in your cloud account.
Clinical data
HL7 FHIR R4 for scheduling and clinical dataHL7 v2 ADT and SIU for admissions and schedulesUDI capture from GS1 and HIBCC barcodes
Operations
Block scheduling rulesPreference card libraryInventory and par levels
Billing
X12 837P facility claimsClearinghouse integrationPayer rule checks
Security
Role-based accessAudit loggingEncryption in transit and at restBusiness associate agreement before PHI
Measured Impact
What should an ASC administrator be able to see?
Views we build with your administrator and nursing leads.
Clearance
Cases not yet cleared
Upcoming cases missing a history, physical or test.
Blocks
Block use and release
Booked and released block time by surgeon.
Implants
Capture completeness
Implants with full UDI data in the record and on the claim.
Discharge
Escort and instructions
Patients with confirmed escort and instructions before surgery.
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Use Cases
Where do surgery centers start?
First releases we scope, each one small enough to run alongside your current systems.
02
Implant capture
UDI scanning in the room, feeding the record, inventory and claim.
03
Block scheduling
Block rules and release for surgeon offices.
04
Preference card clean-up
Cards rebuilt from actual supply use.
05
Discharge workflow
Escort confirmation and instructions from booking to recovery.
06
New center opening
Operations software for a center preparing for its first cases.
Integrations
Which systems does ASC software connect to?
The systems a surgery center platform reads from or writes to, agreed during scoping.
Clinical record
EHR (Epic, Oracle Health (Cerner), athenahealth and others)
Booking requests
Surgeon office practice management
Anesthesia
Anesthesia record system
Supplies and implants
Inventory and supply chain
Claims
Clearinghouse
Transfers
Hospital transfer partner
What we check
Which Conditions for Coverage does the software capture?
The checklist we map to screens and records with your administrator and nursing leads.
Medical record content (42 CFR 416.47)
- Patient identification: registration screen
- Significant history and physical results: clearance screen, before surgery
- Pre-operative diagnostic studies: clearance screen, entered before surgery
- Findings and techniques of the operation, with the pathology report: operative record
- Allergies and abnormal drug reactions: pre-surgical assessment
- Anesthesia entries: anesthesia record
- Informed consent: consent screen, before the procedure
- Discharge diagnosis: discharge screen
Admission and assessment (42 CFR 416.52(a))
- Policy on which patients need a history and physical, and its timeframe: clearance rules
- Pre-surgical assessment on admission by the surgeon or qualified practitioner: admission screen
- History and physical placed in the record before the procedure: clearance gate
Post-surgical assessment and discharge (42 CFR 416.52(b) and (c))
- Post-surgical condition assessed and documented: recovery record
- Post-surgical needs in the discharge notes: discharge screen
- Written discharge instructions and overnight supplies: discharge screen
- Discharge order signed by the physician who operated: discharge order
- Discharge with a responsible adult, unless exempted: escort confirmation
Patient rights (42 CFR 416.50)
- Verbal and written notice of rights before the procedure starts: rights notice screen
- State agency and Medicare Beneficiary Ombudsman contact details: notice template
- Physician ownership disclosure in writing, where applicable: registration packet
Compliance-First Development Services Backed by Global Standards
We build secure, scalable products designed for privacy, interoperability, and regulatory readiness from day one across every sector we serve.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, and strict access controls.
Fast Healthcare Interoperability Resources
Enabling standardized health data exchange through standards-based API mappings.
Health Level Seven International
Supporting enterprise-grade interoperability for clinical messaging and record workflows.
Our Edge
Why Global Leaders Choose Us
We combine deep technical expertise with industry-specific knowledge to deliver solutions that aren't just functional, but transformational.
Enterprise-Grade Security
We implement rigorous security protocols and compliance standards (HIPAA, GDPR, SOC2) across all industrial solutions to protect sensitive data.
High-Performance Scaling
Our architectures are built to handle massive data loads and user bases, keeping performance steady whether you're serving ten or ten million.
Accelerated Time-to-Market
Using our suite of internal tools and proven frameworks, we cut setup work so your first release reaches users sooner.
Embedded AI Integration
Beyond simple wrappers, we build deep-learning integrations and predictive analytics directly into the core of your industry-specific workflows.
Engagement Model
How does an ASC software engagement work?
Centers pick one part of the surgical day to fix first. That release is scoped and scheduled around your case calendar.
01
Scoping call
We review your EHR, scheduling, inventory and billing setup and the first workflow.
02
Day walk-through
We follow one surgical day with your staff and map the checklist to screens.
03
Fixed-scope first release
One workflow end to end, such as clearance or implant capture, with audit logging.
04
Go-live with staff
Rollout by room or service line, with changes from the first weeks of use.
05
Scale and support
More workflows, integrations and reports under change control.
Facts and sources
Which rules shape ASC software?
Short facts from the ASC Conditions for Coverage and the UDI rule, each linked to its primary source.
Each ASC medical record must include patient identification, significant history and physical examination results, pre-operative studies, findings and techniques of the operation, allergies, anesthesia entries, documentation of informed consent and the discharge diagnosis.
Source: 42 CFR 416.47(b) (eCFR)On admission, each ASC patient must have a pre-surgical assessment that documents allergies to drugs and biologicals, and any medical history and physical examination must be in the record before the procedure.
Source: 42 CFR 416.52(a) (eCFR)An ASC must give each patient written discharge instructions, have a discharge order signed by the physician who performed the procedure, and discharge every patient in the company of a responsible adult unless the attending physician exempts them.
Source: 42 CFR 416.52(c) (eCFR)Before the procedure starts, an ASC must give the patient or their representative verbal and written notice of patient rights, including the state agency complaint contact and the Medicare Beneficiary Ombudsman website.
Source: 42 CFR 416.50(a) (eCFR)A unique device identifier has a fixed device identifier for the model and labeler, and a production identifier that can carry the lot or batch, serial number and expiration date shown on the label.
Source: 21 CFR 830.3 (eCFR)
Voice of success
We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.
“I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly.”
Aaron Phelan
Founder, Benchmark
“Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective.”
John Pasmore
Founder, Latimer
“Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together.”
Kim Smith
Founder, My Lauren
Related services
Related surgical and practice services
This page covers surgery center operations. These pages cover the specialties, practices and billing around it.
Orthopedic software solutions
Software for orthopedic practices, a large share of ASC cases.
Practice management software
Scheduling and billing for the surgeon offices that book cases.
Medical billing software
Claims, payment posting and denials.
Hospital resource management
Bed, staff and operating room capacity in hospitals.
HIPAA requirements for software teams
The safeguards we build into every system that holds patient data.
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Cross-Industry Reach
The Same Engineering Patterns, Across Other Industries
The technical patterns behind this platform translate naturally into adjacent verticals.
Frequently Asked Questions
A hospital schedules operating rooms alongside beds, inpatients and emergencies. A surgery center runs same-day cases only, so its software centers on clearance before arrival, fast room turnover, implant capture and discharge home the same day.
Yes. Staff scan the barcode in the room; the device identifier and the production identifier, such as lot, serial number and expiration date, go into the operative record, inventory and the facility claim.
Not necessarily. We can build the operations layer around the EHR you use, or a fuller system if your center has outgrown it. Clinical data flows through HL7 FHIR or HL7 v2 interfaces either way.
Yes. We capture the data elements your quality reporting needs during the day, so they do not have to be abstracted from charts afterwards.
The workflows in scope, the EHR and inventory integrations, the number of rooms and service lines, billing complexity and data migration. The day walk-through shows which of these matter for your center, and the estimate follows from it.
Clearance tracking or implant capture can go live on their own, and their timing depends on the EHR and inventory interfaces. We set the date after the day walk-through.
Industries