Becker's Healthcare August 6, 2024
ASCs in many markets are struggling to secure higher reimbursements and gain leverage in payer conversations.
Tracie Hark, administrator of Hannibal-based Northeast Missouri Ambulatory Surgery Center, joined Becker’s to discuss how payers are justifying ASC reimbursement cuts.
Editor’s note: This response was edited lightly for clarity and length.
Question: What do payers say when you’re asking for higher reimbursements?
Tracie Harker: When asking for higher reimbursements, payers typically say, “You’re the highest paid surgery center in the state or area,” depending on the conversation. But in talking with other facilities, [I’ve heard] they get told the same thing. It’s unfortunate because we’re paid so much less than hospitals. Sometimes we’re unable to do certain cases because the supplies...
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