# Episode 285 - CMS's Provider-Enrollment Crackdown, Anesthesia Stipends, a BLS Readiness Gap, a Locked Pre-Op Door, Traveling Biomed Checks, and an Interview with Pharmacy Consultants - July 18, 2026 Page: https://stenobird.com/podcast/asc-podcast-with-john-goehle-769478/episode-285-cms-s-provider-enrollment-crackdown-anesthesia-stipends-a-bls-readiness-gap-a-locked-pre-op-door-traveling-biomed-checks-and-an-interview-with-pharmacy-consultants-july-18-2026 Text version: https://stenobird.com/podcast/asc-podcast-with-john-goehle-769478/episode-285-cms-s-provider-enrollment-crackdown-anesthesia-stipends-a-bls-readiness-gap-a-locked-pre-op-door-traveling-biomed-checks-and-an-interview-with-pharmacy-consultants-july-18-2026.md Podcast: [ASC Podcast with John Goehle](https://stenobird.com/podcast/asc-podcast-with-john-goehle-769478) Published: 2026-07-25T01:17:22+00:00 Episode link: https://egdpodcast.podbean.com/e/episode-285-cmssprovider-enrollmentcrackdownanesthesia-stipendsa-bls-readiness-gap-alocked-preop-doortravelingbiomed-checksand-an-interview-with-pha/ Audio file: https://mcdn.podbean.com/mf/web/bcemidgtciab5nx9/ASCPWJG-Episode_285ahsun.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/asc-podcast-with-john-goehle-769478/episodes/episode-285-cms-s-provider-enrollment-crackdown-anesthesia-stipends-a-bls-readiness-gap-a-locked-pre-op-door-traveling-biomed-checks-and-an-interview-with-pharmacy-consultants-july-18-2026 Duration seconds: 4089 ## Resource In this episode of the ASC Podcast with John Goehle, we run through the ASC news that matters — a sweeping CMS enrollment proposal, the anesthesia squeeze, and more — plus a few things we've been seeing out in the field. Then John sits down with two veteran pharmacy consultants for a practical look at medication safety in the surgery center, from patient screening to drug diversion to malignant-hyperthermia readiness. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and Ambulatory Healthcare Strategies. Notes and Resources from this Episode: CMS seeks new powers to deny or revoke enrollment for “problematic” Medicare providers — Becker’s Hospital Review: beckershospitalreview.com CY2027 Home Health PPS proposed rule (CMS-1844-P) — Medicare enrollment provisions (retroactive revocation, location & affiliation rules, 855B private-equity/REIT disclosure); comments due Aug 31, 2026 — CMS fact sheet: cms.gov Elevance’s 10% out-of-network penalty — 3 payer moves disrupting ASCs, physicians — Becker’s ASC: beckersasc.com Why anesthesia stipends could be inevitable amid outdated ASC models — Becker’s ASC: beckersasc.com Feds: Iowa plastic surgeon defrauded Medicare through false billings — Iowa Capital Dispatch: iowacapitaldispatch.com CMS request for information on episode-based payment for ASCs (ASCA opposed) — ASC News: ascnews.com Companion episode: Episode 283 — Pharmacy Management and Recalls . INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conference… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/asc-podcast-with-john-goehle-769478/episodes/episode-285-cms-s-provider-enrollment-crackdown-anesthesia-stipends-a-bls-readiness-gap-a-locked-pre-op-door-traveling-biomed-checks-and-an-interview-with-pharmacy-consultants-july-18-2026/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/asc-podcast-with-john-goehle-769478/episode-285-cms-s-provider-enrollment-crackdown-anesthesia-stipends-a-bls-readiness-gap-a-locked-pre-op-door-traveling-biomed-checks-and-an-interview-with-pharmacy-consultants-july-18-2026.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.