Episode
Episode 263 - Latest News, Delay in Pre-Auth Pilot, Anthem Policy, Final CMS ASC/HOPD 2026 Payment Rule - December 3, 2025
- Podcast
- ASC Podcast with John Goehle
- Published
- Dec 5, 2025
- Duration seconds
- 2587
- Processing state
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Summary
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 INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! https://conferences.asc-central.com/ Join one of our Membership Programs! Our Patron Program: Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers. More information and Become Member The ASC-Central Premium Access Program A Premium Resource…