Agentic AI for Ambulatory Surgery Centers (ASC)
Transform Your ASC Operations with Agentic AI
Ambulatory Surgery Centers operate in a high-pressure environment where inefficiencies can ripple across scheduling, billing, compliance, and patient satisfaction. XY.AI's Agentic AI platform automates complex, repetitive tasks across the front office and back office, giving ASC teams back time to focus on high-value care and growth.
The Challenges ASCs Face
ASCs operate in a high-pressure environment where inefficiencies can ripple across scheduling, billing, compliance, and patient satisfaction.
Front-Office Pain Points
Scheduling bottlenecks & cancellations
Triaging case requests, surgeon availability, and OR block time can consume hours
Preoperative documentation
Manual collection of patient consents, medical history, lab results, and insurance authorizations
Eligibility & benefit verification
Checking coverage for both facility services and surgeon/professional fees through multiple payer portals
Referral and intake inefficiency
Coordinating between surgeons, referring MDs, and ASC scheduling staff
Back-Office Struggles
Prior authorization burden
Payers require different clinical documentation, forms, and justification per procedure
Claims denials and resubmissions
ASC claims endure complex rules (modifier usage, facility vs. surgeon billing, global periods)
Compliance documentation
Need to collect and upload PODs (proof of delivery or discharge), anesthesia logs, and surgical checklists
Billing reconciliation
Matching surgeon professional fees with facility payments, reconciling underpayments and invoice mismatches
These bottlenecks slow down throughput, erode margins, and increase administrative overhead—holding back ASC growth.
How Our AI Agents Drive Value: Use Cases for ASCs
Automate complex, repetitive tasks across the front office and back office
Automated Pre-Op Intake
Agent logs into portals or EMR systems, extracts patient insurance, history, referral, lab results, and uploads consents
Impact: Reduces intake time, minimizes patient no-shows, improves pre-op readiness
- Extract patient insurance and medical history automatically
- Upload consents and required documentation
- Validate pre-op readiness before surgery date
Eligibility & Preauthorization
Agent visits multiple payer portals, verifies coverage, completes authorization forms with clinical attachments
Impact: Saves admin hours, ensures faster surgical approvals, reduces case cancellations
- Check coverage across multiple payer portals
- Complete authorization forms with clinical docs
- Track authorization status and follow up
Scheduling Optimization
Agent reviews surgeon availability, block times, patient readiness, and suggests optimal OR scheduling
Impact: Increases OR utilization, reduces backlog, maximizes revenue
- Review surgeon availability and block times
- Match patient readiness with OR capacity
- Optimize scheduling to maximize throughput
Claims & Billing Automation
AI scrubs facility claims, checks for correct HCPCS, CPT, modifiers, global period rules, submits claims
Impact: Fewer denials, reduced resubmissions, improved first-pass payment
- Validate HCPCS, CPT codes, and modifiers
- Check global period rules and billing requirements
- Auto-submit scrubbed claims to payers
Denial Management & Appeals
Agent parses denial letters, identifies missing documentation, drafts appeal narratives, and resubmits claims
Impact: Cuts appeal cycle time, reclaims delayed reimbursements, improves cash flow
- Parse denial reasons and identify root causes
- Draft appeal narratives with clinical justification
- Resubmit appeals with corrected documentation
Compliance & Documentation
Agent uploads discharge summaries, anesthesia records, and POD documentation into payer portals or ASC systems
Impact: Ensures regulatory compliance, reduces compliance risk, and streamlines audits
- Upload discharge summaries and anesthesia logs
- Submit POD documentation to payer portals
- Maintain audit trails for compliance reviews
How Our AI Agents Drive Value: Use Cases for ASCs
Automate complex, repetitive tasks across the front office and back office
Automated Pre-Op Intake
Agent logs into portals or EMR systems, extracts patient insurance, history, referral, lab results, and uploads consents
Impact: Reduces intake time, minimizes patient no-shows, improves pre-op readiness
- Extract patient insurance and medical history automatically
- Upload consents and required documentation
- Validate pre-op readiness before surgery date
Eligibility & Preauthorization
Agent visits multiple payer portals, verifies coverage, completes authorization forms with clinical attachments
Impact: Saves admin hours, ensures faster surgical approvals, reduces case cancellations
- Check coverage across multiple payer portals
- Complete authorization forms with clinical docs
- Track authorization status and follow up
Scheduling Optimization
Agent reviews surgeon availability, block times, patient readiness, and suggests optimal OR scheduling
Impact: Increases OR utilization, reduces backlog, maximizes revenue
- Review surgeon availability and block times
- Match patient readiness with OR capacity
- Optimize scheduling to maximize throughput
Claims & Billing Automation
AI scrubs facility claims, checks for correct HCPCS, CPT, modifiers, global period rules, submits claims
Impact: Fewer denials, reduced resubmissions, improved first-pass payment
- Validate HCPCS, CPT codes, and modifiers
- Check global period rules and billing requirements
- Auto-submit scrubbed claims to payers
Denial Management & Appeals
Agent parses denial letters, identifies missing documentation, drafts appeal narratives, and resubmits claims
Impact: Cuts appeal cycle time, reclaims delayed reimbursements, improves cash flow
- Parse denial reasons and identify root causes
- Draft appeal narratives with clinical justification
- Resubmit appeals with corrected documentation
Compliance & Documentation
Agent uploads discharge summaries, anesthesia records, and POD documentation into payer portals or ASC systems
Impact: Ensures regulatory compliance, reduces compliance risk, and streamlines audits
- Upload discharge summaries and anesthesia logs
- Submit POD documentation to payer portals
- Maintain audit trails for compliance reviews
The ROI of Agentic AI for ASCs
Drive efficiency, reduce costs, and scale operations without adding overhead
administrative costs by automating high-volume tasks
case cycle times with automated intake and authorizations
denials and more revenue through intelligent claims scrubbing
operations without increasing headcount
patient and surgeon experience with less delays
with automated compliance documentation management