Becker's Healthcare November 7, 2024
ASCs’ payer issues aren’t new, but many are now increasingly challenged by complex and restrictive payment policies set by insurers.
As healthcare costs rise, insurers are adopting new reimbursement and authorization requirements that further limit ASC claims and pose difficulties for many leaders.
Several leaders joined Becker’s on Nov. 1 panel at the 30th annual Business and Operations of ASCs Meeting in Chicago to discuss these issues.
New payment policies complicate implant reimbursements.
Velia Suarez, business office manager at Pasteur Plaza Surgery Center in San Antonio, has witnessed these obstacles firsthand, particularly with the reimbursement process for implants.
“We all have heard of the clinical policies,” Ms. Suarez said, “but now you have payment policies that are impacting...
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