Nyleen Flores, CEO of MedElevate, and Shannen Reyes, President of Advanced Quality Compliance, are joining us today. With decades of experience between them, Nyleen and Shannen have helped countless surgery centers streamline their credentialing processes, reducing risk and improving patient safety along the way. In this episode, we unpack common misconceptions, share tools and systems that actually work, and chat about their brand-new podcast, Credentialing Chronicles.

Later in the episode, I’ll walk through our latest Data & Insights spotlight. You’ve probably seen our full State of the ASC Industry Report, but we’ve just released 12 new benchmarking reports focused on specific specialties. Today, we're focusing in on Cardiovascular ASCs—with insights from 108 centers and roughly 9,000 cases.

Resources Mentioned: https://www.hstpathways.com/specialty-data/cardiovascular

Brought to you by HST Pathways.

Smarter Credentialing Strategies 

Josh Rudd recently opened Knoxville Spine Surgery Center, his first time leading the launch of a brand-new facility. I sat down with Josh to hear what the process was really like, from the initial idea all the way to their very first procedure. Whether you're planning a new build or just curious about what it takes to open an ASC from scratch, this conversation is packed with first-hand insights you'll find both valuable and engaging.

After my conversation with Josh, we’ll head into our Data & Insights segment. HST released its annual State of the Industry report in September, based on data from 590 surgery centers. Today, we’re diving into expected vs. actual OR start times and sharing practical tips to help keep your schedule running on time.

Resources Mentioned: HST’s State of the Industry Report [https://www.hstpathways.com/resources/surgery-center-industry-report/]

Brought to you by HST Pathways.

Behind the Scenes of Opening an ASC

We’re continuing our series on Improving Profitability. Last week, Melanie Howitt shared how AI and automation can improve your ability to collect outstanding balances. This week, Kristle Young from Collective RCM joins us to discuss strategies for reducing days in AR.

In our news recap, we cover key trends from the ASCA Conference, the rise of shoulder replacements, a new joint venture between Cleveland Clinic and Regent Surgical, and end on a high note with this year’s Nap Gary Award recipient.

Resources Mentioned:

ASCA 2025 Recap: Profitability, Tech, and Leadership [https://www.hstpathways.com/blog/asca-2025-recap-profitability-tech-and-leadership/]

Gaining Ground [https://www.aorn.org/outpatient-surgery/the-magazine/article/gaining-ground]

Cleveland Clinic, Regent Surgical Strike ASC Joint Venture Agreement [https://ascnews.com/2025/05/cleveland-clinic-regent-surgical-strike-asc-joint-venture-agreement/]

Wilson Receives Nap Gary Award for Lifetime Achievement [https://www.ascfocus.org/ascfocus/content/articles-content/articles/2025/names-in-the-news/wilson-receives-nap-gary-award-for-lifetime-achievement]

Brought to you by HST Pathways.

Improving Profitability: Reducing Days in AR

We’re kicking off a brand-new three-part series on Improving Profitability at Your ASC. First up: Melanie Howitt, Transition and Implementation Manager at in2itive, joins host Nick Latz to discuss how AI and automation can streamline collections and reduce outstanding balances. She also shares field-tested best practices for optimizing the back end of the revenue cycle.

Then, in our Data & Insights segment, we dive into findings from HST’s latest State of the Industry report. With data from 590 surgery centers, we break down the most common reasons for case cancellations—and which ones your ASC can work to prevent.

Resources Mentioned:

HST’s State of the Industry Report: https://www.hstpathways.com/resources/surgery-center-industry-report/

How to Create a CustomGPT: https://www.youtube.com/watch?v=_u0tHytmKqw

Brought to you by HST Pathways.

Improving Profitability: Automating Claim Adjudication 

HST CEO David Thawley recently joined ASCA’s podcast to discuss key ASC trends in 2024—from rising specializations and OR efficiencies to new RCM data from our State of the Industry Report. We’re excited to share that conversation here with permission from ASCA.

Quick reminder: if you’re listening on Tuesday, April 29, the ASCA conference is officially underway! Come visit us at Booth #303 to say hi, grab your copy of the report, and win a prize.

Check out ASCA’s podcast, Advancing Surgical Care: https://www.ascassociation.org/asca/news-and-publications/podcast

Download HST’s State of the Industry Report: https://www.hstpathways.com/resources/surgery-center-industry-report/

Brought to you by HST Pathways.

A Comprehensive Look at ASC Data from 2024 

Today’s guest is Richard Parker, Associate Director of Life Safety & Physical Environment at ACHC—the Accreditation Commission for Health Care. We talk about what life safety includes, what surveyors are really looking for, how to document properly, and the most common deficiencies ACHC sees during surveys.

Reminder: the ASCA conference is just two weeks away! If you haven’t registered yet, online registration closes Friday, April 18th, so now's the time to register if you haven’t yet. HST will be there at Booth #303, right up front in the exhibit hall. Stop by to say hello, grab a copy of our State of the Industry report, take a quiz for a chance to win a prize, and check out all our latest solutions. We hope to see you there.

Resources Mentioned:

 * Closing the ASC Tech Gap: EHRs, AI and Beyond [https://ascnews.com/2025/04/closing-the-asc-tech-gap-ehrs-ai-and-beyond/]
 * How ASCs can flip the script on anesthesia challenges [https://www.beckersasc.com/anesthesia/how-ascs-can-flip-the-script-on-anesthesia-challenges/]
 * Streamlining the PACU Experience for Total Joints Patients [https://www.aorn.org/outpatient-surgery/the-magazine/article/streamlining-the-pacu-experience-for-total-joints-patients]
 * The dog-tor will see you now [https://www.positive.news/environment/good-news-stories-from-week-13-of-2025/]
 * Learn more about ACHC Webinars: https://www.achc.org/

Brought to you by HST Pathways.

Life Safety: What Admins Need to Know 

In the final episode of our Staffing Strategies series, Maddie Traylor, President of AdvancedScope, joins us to explore the differences between locum, contract, and permanent hires. We dive into the pros and cons of each staffing model and how surgery centers can determine the best fit based on their unique needs.

After the conversation with Maddie, stick around for our Data & Insights segment. We’ll take a few minutes to unpack one of the key takeaways from HST’s 2024 State of the Industry report: average recovery times by specialty, based on data from 590 surgery centers.

Resources Mentioned:

 * HST’s State of the Industry Report: https://www.hstpathways.com/resources/surgery-center-industry-report/
 * The National Library of Medicine’s report on aromatherapy's role in decreasing PONV: https://pubmed.ncbi.nlm.nih.gov/34905993/

Brought to you by HST Pathways.

Staffing: Locum, Contract, or Permanent?

Last week, we explored how to choose the best staffing agency with Mayte Rechani. This week, we’re continuing our staffing series with Mark Henderson Leary to discuss what it takes to build a sustainable culture at your ASC.

Mark shares practical strategies to help you:

 * Define what your culture really is
 * Identify team members who may not be the right fit
 * Attract and retain people who align with your values

In our news recap, we cover:

 * The ongoing anesthesia staffing crisis
 * Concerns from ASC leaders about proposed HHS policy changes
 * National Colorectal Cancer Awareness Month
 * A feel-good story from this year’s National Resident Matching Program

Resources Mentioned:

 * Surviving the Anesthesia Staffing Crisis [https://www.aorn.org/outpatient-surgery/special-editions/article/surviving-the-anesthesia-staffing-crisis]
 * Ambulatory Surgery Center Stakeholders Sound Alarm Over HHS Proposal to Rescind Public Participation in Rulemaking [https://ascnews.com/2025/03/ambulatory-surgery-center-stakeholders-sound-alarm-over-hhs-proposal-to-rescind-public-participation-in-rulemaking/]
 * ASCs Provide Updates on CRC Screening [https://www.ascfocus.org/ascfocus/content/articles-content/articles/2025/march/ascs-provide-updates-on-crc-screening]
 * What 23 match day statistics say about the future of medicine [https://www.beckersasc.com/asc-news/what-23-match-day-statistics-say-about-the-future-of-medicine/]
 * HST’s State of the Industry Report [https://www.hstpathways.com/resources/surgery-center-industry-report/]

Brought to you by HST Pathways.

Staffing: Building a Sustainable Culture 

Today is the first episode of our new three-part series on Staffing Strategies for ASCs! Over the next few episodes, we’ll discuss key staffing considerations that can help surgery centers build and maintain a strong workforce. The healthcare industry is dealing with unprecedented staffing shortages right now, so I’m hopeful that everyone will be able to walk away from this series with some new ideas to use.

Today, we’re kicking things off with Mayte Rechani to discuss Selecting the Best Agency. Many ASCs haven’t tapped into staffing agencies yet, so Mayte will break down what to look for in an agency, how to ensure reliable coverage, and other key factors to consider.

After my conversation with Mayte, we’ll switch to our Data & Insights segment. HST released our annual State of the Industry report in September, which analyzed client data from 590 surgery centers. Today we’ll spend a few minutes breaking down how often outstanding patient bills are worked post-date-of-service.

Resources Mentioned:

HST’s State of the Industry Report – https://www.hstpathways.com/resources/surgery-center-industry-report/

Brought to you by HST Pathways.

Staffing: Selecting the Best Agency 

Today, we’re diving into the latest insights from VMG Health’s newly released report, ASC Leader Expectations for 2025. This report is based on a survey of 137 ASC leaders—including administrators, CEOs, VPs, and clinical directors—from both independent and joint-venture centers. To break down the key takeaways, our host, Nick Latz, sat down with Colin Park, Managing Director at VMG Health. Together, they explore what ASC leaders are prioritizing for the year ahead and what trends Colin and his team uncovered.

After my conversation with Colin, we’ll switch to our Data & Insights segment. HST released our annual State of the Industry report in September, which analyzed client data from 590 surgery centers. Today we’ll spend a few minutes breaking down on-time starts. We’ll look at which specialties have the longest delays, which have the shortest, and the operational impacts of starting surgeries late.

Resources Mentioned:

 * ASC Leader Expectations for 2025: https://vmghealth.com/insights/industry-report/asc-leader-expectations-for-2025/
 * HST’s State of the Industry Report: https://www.hstpathways.com/resources/surgery-center-industry-report/

Brought to you by HST Pathways.

ASC Leader Expectations for 2025

If you’re in the ASC industry, then you’re in the right place. Every week our hosts will recap the latest news impacting ASCs, and share an interesting conversation we had with our featured guest. New episodes released every Tuesday!

This Week in Surgery Centers