Skip to main content

OBL & ASC Management

Struggling to Grow and Operate Your OBL or ASC?

Rising costs, staffing shortages, reimbursement pressure, compliance requirements, and inconsistent referral growth are making it harder than ever to run a successful vascular center.

AVA helps physician-owned Office-Based Labs (OBLs) and Ambulatory Surgery Centers (ASCs) overcome these challenges through comprehensive vascular center management, operational support, and strategic partnership solutions.

Schedule a Call

Book a Consultation or Get Staffing Help

Is Your Center Facing These Challenges?

AVA - Patient volumes - fluctuating graph icon-2

Patient Volumes Are Inconsistent

Referral patterns change, competitors enter the market, and future growth becomes difficult to predict.

AVA - Costs keep rising - arrows going up with $ signs icon-2

Costs Keep Rising

Labor costs, supplies, technology, and compliance requirements continue to put pressure on margins. 

AVA - Staffing challenges - 3 people over a gear icon-2

Staffing Is a Constant Challenge

Finding, developing, and retaining great employees has never been harder. 

AVA - Revenue cycle - arrows in a circle with $ in the middle - icon-2

Revenue Cycle Performance Is Falling Short

Denials, delayed payments, and missed opportunities reduce profitability.

AVA - Administrative work - person behind desk with coffee cup and gear icon-2

Administration Is Taking Time Away From Leadership

Too much time is spent solving operational problems instead of building the future of the practice. 

AVA - Growth stalled - Bar chart with stalled growth - icon-2

Growth Has Stalled

You know there is opportunity, but scaling the center feels increasingly complex.

27

Centers Managed

74

Physician Partners

11

States

93,000+

Annual Patients

You Know the Challenges. Here's How We Solve Them.

Every challenge has a solution. The hard part is knowing where to start. From staffing shortages and reimbursement pressure to compliance concerns and growth barriers, today's vascular centers face more complexity than ever.


That's where AVA comes in.

We provide the expertise, infrastructure, and support needed to identify opportunities, solve operational challenges, and build a stronger path forward.

Click on each section below to expand.


From Operational Complexity → To Operational Excellence

Managing day-to-day operations, improving consistency, and maintaining accountability becomes increasingly difficult as OBLs, ASCs, and other outpatient vascular centers grow.

How AVA Helps

Center Management

  • Deliver comprehensive vascular center management and operational oversight to improve efficiency, accountability, and performance.
  • Provide experienced leadership, accountability, and oversight to keep your center performing at a high level.

Best Practice Implementation

  • Standardize proven processes and workflows across the organization.
  • Continuously identify opportunities to improve efficiency, patient experience, and financial performance.

Schedule Consultation

From Revenue Leakage → To Stronger Financial Performance

Denials, reimbursement pressure, reporting limitations, and payer challenges can significantly impact profitability for physician-owned OBLs and ASCs.

How AVA Helps

Revenue Cycle Management

  • Reduce denials, improve collections, and accelerate reimbursement.
  • Optimize every stage of the revenue cycle to improve cash flow and financial performance.

Finance, Accounting & Reporting

  • Deliver timely financial reporting and actionable performance insights.
  • Provide budgeting, forecasting, and operational analytics to support better decision-making.

Schedule Consultation

From Delayed Approvals → To Faster Reimbursement & Network Access

Navigating payer requirements, enrollment processes, and contract negotiations can slow growth and impact revenue.

How AVA Helps

Credentialing & Contracting

  • Manage provider enrollment, credentialing, and payer participation..
  • Negotiate and maintain contracts that support reimbursement and network access.

Schedule Consultation

From Technology Frustration → To Better Visibility & Control

Disconnected systems, outdated technology, and limited reporting create inefficiencies across the organization.

How AVA Helps

IT & Certified EMR Solutions

  • Implement and support secure technology platforms designed for vascular centers.
  • Improve reporting, connectivity, data visibility, and operational efficiency through integrated systems.

Schedule Consultation

From Quality & Compliance Pressure → To Operational Confidence

Regulatory requirements, accreditation standards, and quality initiatives require continuous oversight and expertise.

How AVA Helps

Quality Assurance & Compliance

  • Establish programs that promote regulatory readiness and continual improvement.
  • Monitor quality metrics, audits, policies, and compliance initiatives to reduce risk.

Schedule Consultation


From Clinical Variability → To Consistent Patient Outcomes

Maintaining excellence across teams and locations requires standardized clinical processes and ongoing support.

How AVA Helps

Clinical Excellence Programs

  • Promote evidence-based clinical practices and high standards of patient care.
  • Support physician and staff development through education, training, and clinical leadership.

Schedule Consultation

From Risk Exposure → To Greater Protection

Legal, regulatory, and operational risks can create uncertainty for physicians and administrators

How AVA Helps

Legal Support & Risk Management

  • Provide guidance on regulatory, contractual, and operational matters.
  • Identify and mitigate risks that could impact financial performance, compliance, or patient care.

Schedule Consultation

From Rising Supply Costs → To Smarter Resource Management

Supply expenses and vendor relationships can significantly impact margins and operational efficiency.

How AVA Helps

Supply Acquisition Management

  • Negotiate with vendors and suppliers to improve purchasing power.
  • Control inventory and reduce unnecessary costs without compromising patient care.

Schedule Consultation

From Stalled Growth → To Strategic Expansion

Many centers know they have growth potential but lack the infrastructure and expertise to expand successfully.

How AVA Helps

New Center Development

  • Guide physicians through Office-Based Lab (OBL) development, Ambulatory Surgery Center (ASC) development, planning, licensing, operational readiness, and launch.
  • Coordinate the operational, financial, compliance, and technology components needed for successful expansion.

Schedule Consultation

From Limited Visibility → To Sustainable Patient Growth

Competition is increasing, referral patterns are changing, and attracting new patients requires a proactive strategy.

How AVA Helps

New Center Development

  • Strengthen referral relationships and increase awareness among patients and providers.
  • Improve digital visibility, reputation, and patient acquisition through targeted marketing strategies.

Schedule Consultation

Why Physicians Partner with American Vascular Associates

AVA-Woman performing procedure-1

Whether you're looking for OBL management services, ASC management services, operational support, new center development, or a strategic partnership model, AVA helps physicians build stronger, more valuable practices.

One Partner. One Strategy.
One Team. One Goal.

After partnering with AVA, your center will:

  • Improve operational performance
  • Strengthen reimbursement outcomes
  • Support recruiting and retention
  • Enhance referral growth
  • Improve patient acquisition
  • Reduce administrative burdens
  • Support ASC transitions
  • Increase long-term practice value

Partnership Options Designed Around Your Goals

Want to Maintain Ownership but Improve Performance?

Management Services Agreement (MSA): Access AVA's operational, financial, technology, staffing, compliance, and growth expertise while maintaining ownership.

Looking for a Long-Term Strategic Partner?

Joint Venture Partnership: Partner with AVA to accelerate growth, strengthen infrastructure, and create long-term enterprise value.

GVC staff.png

The Patient Access Challenge That Sparked AVA

AVA-Janet Dees and Michael Licata

When Janet Dees, RN, saw patients waiting weeks for vascular access care, she recognized a gap with real clinical consequences.

AVA was founded to help physicians improve access to timely, high-quality care through Office-Based Labs (OBLs). Together with CEO Michael Licata, whose background spans healthcare strategy, business development, and operational leadership, the organization has grown into a trusted partner for vascular centers across the country. AVA now provides comprehensive support in operations, revenue cycle management, compliance, technology, staffing, growth initiatives, and strategic partnerships, enabling physicians to focus on delivering exceptional patient care.

125+

Years Combined Leadership Experience

What Our Physician Partners Have To Say.

AVA has been a great partner in our venture at Douglas Vascular center. It’s really been good to have someone with our best interests at heart handling contracts and the physical plant and not interfering with my clinical goals. They have actually enhanced and reinforced my clinical goals and it has been a winning partnership.

William Davis, M.D.

Douglas Vascular Center

American Vascular’s focus on gold standards in management services, an engaged patient experience and a true business partner are what I look for in a sustainable relationship. Moreover, the economics of my decision should allow for optimal patient satisfaction/safety, stronger practice economics, office efficiency and patient retention. I am excited to begin my journey with the American Vascular team of professionals.

Interventional Cardiologist / Endovascular Specialist

AVA is a forward-thinking, progressive company that encourages collaboration with its partners to create a shared success model that mutually benefits the staff and physicians to ensure an improved patient experience.

Physician Partner

Columbus, GA

Every Challenge Has a Solution. Let's Find Yours.

 

Every vascular center face challenges. The difference is having the right partner to help solve them.

From revenue cycle performance and staffing challenges to compliance, technology, and expansion planning, AVA helps physician partners overcome obstacles and build stronger, more valuable practices.

Let's start with a conversation.