Surgery Exchange: Automating the Implant Bill-Only Case Process Flow

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Amin Rahme, President & CEO
Have you ever thought of the complexities associated with an implant bill-only case from the time it is scheduled until all related clinical and business elements are complete? The impact of rising product costs, declining reimbursements, and the extensive and repetitive manual processes can no longer be sustainable as they directly affect a hospital’s bottom line. Lack of availability of real-time accurate case level data leaves hospital unable to react immediately. This situation could leave an impact on clinicians as well. Implants are not one-size-fits- all and are generally not owned by the hospital. Planning an implant surgery involves several internal and external stakeholders that must work in coordination before, during, and after surgery to ensure patient safety and clinical success. Orthopedic, spinal, cardiovascular, and breast implant surgeries typically involve many parts whose size can be accurately determined only when the procedure has already begun. If the surgeon is to find out that a required item was unavailable, unsterilized, or had expired, they would have a potential disaster on their hands. To avoid such situations and to ensure that implant surgeries proceed on schedule, a chain of communication between the hospital and vendor organizations is required, hospital vendor agreements are enforced throughout, and accurate case usage is captured and made available in a timely manner for a hassle-free reimbursement.

This is precisely what Surgery Exchange brings to the table. In an ambitious bid to proactively automate the current intensive and duplicative manual processes lacking visibility and compliance with hospital rules, policies, and vendor agreements, Surgery Exchange was founded to assist supply chain, clinicians, and hospital support teams in being more efficient. In doing so, the company ensures a smooth process that provides visibility and real-time, accurate, case-level data throughout for all service lines, system-wide. “Our technology automates and optimizes the highly manual implant bill-only procurement and management process, which enables healthcare providers to oversee and control these procedures by increasing visibility into the supply chain,” states Amin Rahme, President and CEO of Surgery Exchange. This first of its kind comprehensive end- to-end provider solution brings together the various stakeholders including hospital clinicians, staff, management, manufacturers, sales representatives into a steady communication chain.

We automate the workflow process and bridge disparate hospital IT systems to provide consistent real-time data to all the stakeholders, establishing their proactive involvement to create consistent best practices for all implant service lines, health system-wide, which ultimately improves hospital’s financial bottom line

Disparate IT systems including financial ERP, electronic health records, and other resources necessary to the case also form a part of this sequence to proactively drive the entire process in accordance with hospital rules, policies, and agreements.

Surgery Exchange offers a comprehensive HIPAA-compliant line of integrated software solutions focused on implant bill- only cases. The company’s solutions electronically synchronize with the surgery scheduling system and inform stakeholders about their cases and any changes or cancellations. In addition to the Surgery Exchange platform that manages planning, case management, and contract compliance, the company provides Surgery Exchange Logistics, which handles hospital-owned and vendor-consigned implant inventory and related instruments to further reduce hospital’s cost and liabilities. This solution provides accurate data about consignments and hospital-owned implant inventory.

Surgery Exchange leads the space of automating the various processes to support surgical implants, including usage reconciliation and payment process. “We constantly identify new challenges faced by hospitals and device manufacturers in this oft-ignored arena and aim to expand the functionality of our solutions to overcome them effectively,” concludes Rahme.

Surgery Exchange

Atlanta, GA

Amin Rahme, President & CEO and Bob Umdenstock, Executive VP of Business Development

Provides solutions designed to support hospitals with end-to-end planning and case management focused on “bill only” implants and surgery workflow

Surgery Exchange