Surgical practice & ASC software built around the procedure

General surgery mixes clinic consults, elective cases and add-on urgent cases, so the system has to follow a case from the decision to operate onward. Pre-op workups and clearances (labs, ECG, anesthesia questions, cardiology or primary-care sign-off) become checklists that hold the booking until they are complete. Operative note templates capture procedure, findings, specimens, estimated blood loss and drains. Billing follows US Medicare global surgery rules: 0-, 10- and 90-day global periods, where the 90-day package also covers the day before surgery, plus modifiers 24, 25, 57, 58, 78 and 79 for services inside those periods.

Pre-op clearance checklists · Operative note templates · Global periods (US) · Modifiers 24/25/57/58/78/79

Orthopedic care depends on imaging and hardware. The chart should open X-ray, CT and MRI studies from your PACS through a DICOM viewer, next to the op note and the implant log. Implant tracking records each device's UDI (in the US, the FDA unique device identifier, with a device identifier plus production identifiers such as lot, serial number and expiration date) so a recall can be matched to patients. Surgeon preference cards drive trays and supply picks for each case. Patient-reported outcome measures for pain and joint function are collected before surgery and at set intervals after it.

PACS / DICOM viewer · Implant UDI log · Surgeon preference cards · PROM collection

Neurosurgical cases combine detailed planning with long follow-up. The software brings MRI and CT studies from PACS into the pre-op review and records the planned approach, spinal levels, laterality and any navigation or neuromonitoring needs on the case request. The device record links spinal hardware, shunts or stimulators to the patient by UDI. Op note templates cover levels, instrumentation and intraoperative findings. After surgery, the system schedules imaging and clinic visits across months or years and collects neurological scores and patient-reported outcomes, so every visit can be compared with the pre-op baseline.

Imaging in pre-op review · Levels and laterality · Device records · Long-term follow-up

Bariatric surgery starts months before the operation. The system tracks the pre-surgical program as milestones: nutrition counseling sessions, psychological evaluation and clearance, medical workup, education classes and the insurer's pre-authorization. For US Medicare patients, NCD 100.1 ties coverage to a BMI of 35 or higher, at least one obesity-related comorbidity and documented, previously unsuccessful medical treatment for obesity, so that evidence should sit in one place before the request goes out. Commercial payers set their own criteria. After surgery, the program shifts to long-term follow-up: weight trends, labs, supplement adherence and nutrition visits.

Program milestones · Psych and nutrition clearance · Pre-authorization packet · Long-term follow-up

An ASC runs as a facility business as well as a clinical one. Case costing ties supplies, implants, staff time and OR minutes to each case. Anesthesia records capture the pre-anesthesia evaluation, intraoperative events and recovery. In the US, Medicare-certified ASCs must meet Conditions for Coverage (42 CFR 416.52): pre- and post-surgical assessments, written discharge instructions, a discharge order signed by the operating physician and discharge with a responsible adult unless the physician exempts the patient. Medicare-paid ASCs also report to the CMS ASC Quality Reporting (ASCQR) Program, so measure data should be captured during the case.

Case costing · Anesthesia records · Same-day discharge (US CfC) · ASCQR reporting (US)