Episode Details

In this episode of the ASC Podcast with John Goehle we discuss the latest news, including the delay in the Pre-authorization pilot and Anthem’s new policy on out-of-network providers.   In our focus segment we discuss the final 2026 CMS ASC/HOPD Payment Rule 

This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. 

Notes and Resources from this Episode:

• Final Rule:

• • • https://public-inspection.federalregister.gov/2025-20907.pdf
• Press Release about Final Rule:
  • https://www.cms.gov/newsroom/press-releases/cms-empowers-patients-boosts-transparency-modernizing-hospital-payments

• Fact Sheet about Final Rule:

• • https://www.cms.gov/newsroom/fact-sheets/calendar-year-2026-hospital-outpatient-prospective-payment-system-opps-ambulatory-surgical-center

• Downloads for the Final Rule:

• • https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient/regulations-notices/cms-1834-fc

• ASC Quality Reporting web site:

• • https://www.qualityreportingcenter.com/en/ascqr-program/

• ASC Association Web Site (Join to get more information):

• • http://ascassociation.org

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