Tim Fuchs

Like implants and supplies, for instance, are up 8% to 20% depending on specialty.

Staffing and anesthesia, we see a lot of this in the Becker's updates on a daily basis.

ASCs are really feeling the highest wage pressure in the industry right now with this anesthesia piece to ASCs.

And it's really challenging for them navigating that.

We're seeing technology and compliance costs continue to go up, and ASTs can simply not afford a slow billing process or slow AR cycles with these increasing areas that are really going up.

And then, too, payers are slowing down on purpose.

They're having more prior auth requirements, more clinical reviews, higher denial rates, and longer reconsideration and appeal cycles, which is making it really

challenging for surgery centers to navigate those markets.

So when we're looking at that, and also too, competition is fierce.

New surgeons are going to have their choices between surgery centers and what they're doing, looking at marketing, et cetera.

So the challenge to bring in top talent is there as well.

And so it's really this creating this kind of perfect storm for

really the ASCs that can navigate that in a better fashion and do it with data can be more successful.

So really accelerating your cash breaks this cycle before it harms your operations.

So we want to make sure that you're really looking at all the areas that are going to impact this.

So

We're looking at financial education for not just you, but your surgeons.

So you want to give feedback to those surgeons on case profitability and making sure they understand their costs and what we can do to streamline those cases to make them as profitable as they can be.

You want to make sure that you're continually training your staff on documentation standards to prevent denials.

A lot of that upfront work comes from making sure that those folks at the front end