Specialty Surgery Center Wind-Down

Overview

A specialty ambulatory surgery center in California decided to cease operations following a loss of key surgeons and a deteriorating payer mix. The facility had complex OSHA decommissioning requirements, $2.5M in surgical equipment to dispose of, and 18 insurance panel contracts to terminate.

The Challenge

Surgery centers face closure requirements beyond standard medical practices: OSHA surgical suite decommissioning, specialized equipment disposition, California OSHPD notification, and a complex payer mix with high-value claims in various stages of adjudication. The facility had $340K in AR that required aggressive follow-up to recover before closure.

Our Approach

Brad coordinated the 120-day wind-down across all regulatory fronts simultaneously: California Medical Board notification, OSHPD filing, DEA surrender for controlled substance inventory, CMS Medicare withdrawal with final billing compliance, and coordinated surgical equipment disposition through a medical equipment liquidator to return value to owners.

What We Did

• California Medical Board and OSHPD notifications filed simultaneously on day 1
• Managed termination of 18 insurance panel contracts with proper notice periods
• Coordinated disposition of $2.5M in surgical equipment through medical equipment liquidator
• DEA controlled substance inventory conducted and surrender completed per DEA Form 41
• CMS Medicare withdrawal filed with final billing compliance review
• Full OSHA decommissioning for surgical suite — biohazard, sharps, gas line certification
• Recovered $340K in outstanding AR during active wind-down period