Becker's Healthcare November 20, 2023
ASCs have long faced obstacles to reimbursements, and some leaders are finding increasing obstacles to securing necessary pay for procedures.
Todd Neiss, business manager of Bismarck (N.D.) Surgical Associates, joined Becker’s to discuss his organizations’ obstacles with payers and claims.
Editor’s note: This interview was edited lightly for clarity and length.
Question: Where are ASCs losing money right now?
Todd Neiss: Where ASCs are losing money right now is with payers not processing claims correctly. They deny claims that should be paid or have a third party process claims that don’t even follow the payers’ policies and guidelines and they deny claims that should be paid. You fight for these claims to get paid, and they require you...
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