Visibility comes first

You can't manage what you can't see in time to act on it. That's true for any business, but in an ASC running tight margins on a high case volume, the gap between knowing about a problem on Thursday and knowing about it on Tuesday is the gap between a salvageable case and a cancellation.

Becker's ASC KPI guidance recommends ASCs target an industry-standard 98% clean claim rate, a denial rate below 5%, and days in A/R around 35 — all sensible targets that are essentially impossible to hit if leadership only sees the data in a monthly report.¹

Most ASCs run their revenue cycle on a series of disconnected systems: scheduling in one, EMR in another, billing in a third, eligibility in a clearinghouse, prior auth in a payer portal, denials in a spreadsheet.

Industry data from Kodiak Solutions shows initial claim denial rates climbed to 11.81% in 2024, up 2.4% year-over-year, while true accounts-receivable days rose 5.2% year-over-year.² None of those trends are visible early enough to act on them if the data is locked inside the systems where the work is happening.

The dashboard exposes the status of every scheduled case across the eight subagents Lily runs. For every case, leadership sees not just where the case is but what's at risk. A case scheduled for Friday with no auth on Monday morning is flagged. A patient who hasn't answered confirmation calls is flagged. A denial that's about to age out of its appeal window is flagged. The point isn't more dashboards — it's the dashboard that tells you what to do today.

Every action Lily takes is logged with a timestamp, the data she used, the rule she applied, and the human who approved or modified it. That audit trail does three things.

Healthcare AI vendors have spent the last few years selling point solutions: a voice AI here, a prior auth bot there, a coding assistant somewhere else. The trouble with point solutions is they don't talk to each other, and the work that fails in ASCs is almost never one task — it's a sequence of tasks where one missed handoff breaks the next three.

The Operations Dashboard is what makes Lily's eight subagents act as one system instead of eight tools. The pre-op screening agent's findings flow into the procedure agent's checklist, which feeds the prior auth agent's documentation, which feeds the claim. When one piece changes — a new clearance arrives, a payer policy updates, a case reschedules — every dependent agent reacts. That's why ASCs running on AI for the first time benefit from starting with the dashboard rather than the agents. Visibility comes first. Automation builds on top of it.