Becker's Healthcare January 23, 2026
Patsy Newitt

Denials, audits and delayed payments are accelerating across ASC, and leaders say payer behavior has become more aggressive, automated and less collaborative over the past year.

Five ASC executives joined Becker’s to discuss how they’re adapting, from tightening documentation and appeal workflows to deploying AI and elevating revenue cycle oversight to the C-suite.

Editor’s note: Responses have been lightly edited for clarity and length.

Question: Have you seen an increase in denials, audits or delayed payments in the last year? If yes, what is your strategy to combat these obstacles?

Brian Bizub. CEO at Raleigh (N.C.) Orthopaedic: Yes. Over the past year, we have experienced approximately a 60% increase in down-coding, claim denials, bundled code issues, audits and...

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