Agency Announces ASC Prior Authorization Demonstration
September 4, 2025 | |
Agency Announces ASC Prior Authorization Demonstration
The Centers for Medicare and Medicaid Services (CMS) announced a prior authorization demonstration program for certain ambulatory surgical center (ASC) services. CMS says that prior authorization ensures that services comply with applicable Medicare coverage, coding, and payment rules before services are rendered or claims are submitted. CMS believes that this demonstration will protect the Medicare Trust Fund from improper payments and ensure that… (McClurg, September 4, 2025) #Ambulatory Surgical Centers, #Demonstration Programs, #Program Integrity