# Episode 263 - Latest News, Delay in Pre-Auth Pilot, Anthem Policy, Final CMS ASC/HOPD 2026 Payment Rule - December 3, 2025

Page: https://stenobird.com/podcast/asc-podcast-with-john-goehle-769478/episode-263-latest-news-delay-in-pre-auth-pilot-anthem-policy-final-cms-asc-hopd-2026-payment-rule-december-3-2025
Text version: https://stenobird.com/podcast/asc-podcast-with-john-goehle-769478/episode-263-latest-news-delay-in-pre-auth-pilot-anthem-policy-final-cms-asc-hopd-2026-payment-rule-december-3-2025.md
Podcast: [ASC Podcast with John Goehle](https://stenobird.com/podcast/asc-podcast-with-john-goehle-769478)
Published: 2025-12-05T13:23:20+00:00
Episode link: https://egdpodcast.podbean.com/e/episode-263-latest-news-delay-in-pre-auth-pilot-anthem-policy-final-cms-aschopd-2026-payment-rule-december-3-2025/
Audio file: https://mcdn.podbean.com/mf/web/6k8zm9qb6h2t7a7h/ASCPWJG-Episode_263bmpzl.mp3
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JSON: https://stenobird.com/v1/public/podcasts/asc-podcast-with-john-goehle-769478/episodes/episode-263-latest-news-delay-in-pre-auth-pilot-anthem-policy-final-cms-asc-hopd-2026-payment-rule-december-3-2025
Duration seconds: 2587

## Resource

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…

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