Payor Contracts

Mastering Payor Contracts to Maximize Reimbursement
Strong payor contracts are essential for ASC profitability. This bundle covers key strategies for negotiating better rates, managing contracts effectively, and understanding chargemaster essentials. Learn the power of data and how to stay ahead of payment trends to ensure your center gets the reimbursement it deserves.

Podcast
Leveraging Data for Negotiations
Rita Reyes-Williamson from Surgery Partners shares key data points—like case volume and care access—that ASCs can use to gain leverage and negotiate better payor contract rates.

Podcast
6 Essentials for Effective Management
Kristin Pegram from Mann Eye Institute shares six essential tips for effective payor contract management, helping ASCs navigate negotiations, compliance, and financial sustainability.

Podcast
Chargemaster Essentials
Scott Allen from nimble dives into Chargemaster essentials, covering common issues, keeping it up to date, and maintaining it effectively to maximize reimbursement.

Podcast
Opening an ASC: Navigating Payer Contracts
Michael McClain is the founder and managing member at LeftCoast Healthcare Advisors, and we talk through how to initiate payer conversations, position yourself to get the best rates, and effectively manage contracts.

Podcast
What an Experienced RCM Expert Needs to Know
Mel Gunawardena from SYNERGEN Health discusses key RCM best practices, the impact of technology, and considerations for keeping RCM in-house versus outsourcing.

Video
ASC Payment Trends (2023-2024)
Between 2023 and 2024, surgery centers saw a significant shift in payment patterns. Partial payments rose from 41% to 56%, while total payments dropped from 26% to 17%. This shift includes payments from both payers and patients.
Other Resources You May Find Helpful