Becker's Healthcare February 12, 2025
Kristi Manutai, RN, regional administrator for Redding, Calif.-based North State Surgery Centers, joined Becker’s to discuss how payer issues are creating significant financial and operational challenges for smaller ASCs.
“Declining reimbursements are a huge factor,” she said. “Payers are forcing us to bundle more services together. I’ve been in this industry for about 30 years, and I’ve seen major changes in billing processes, codes and reimbursement structures.”
In addition to lower payments, negotiating contracts with commercial payers has become a longer, more drawn-out process.
“Each negotiation takes longer than before, and we’re seeing more delay tactics from payers,” she said. “For example, we had a payer sending payments to the wrong address for over a year and refusing to correct...
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