Becker's Healthcare April 25, 2024
Here are six recent moves by CMS that may benefit — or burden — ASCs, as reported by Becker’s in 2024:
Wins
1. Beginning this year, CMS added 11 procedures to the ASC-covered payment list, which included the addition of total shoulder and ankle joint reconstruction and meniscus transplants. The full list of newly payable procedures can be found here.
2. CMS updated its regulations for prior authorization for Medicare Advantage organizations, state Medicaid and Children’s Health Insurance Program plans, Medicaid managed care plans, CHIP managed care entities and Qualified Health Plan issuers.
It will now require the implementation of healthcare data resources that will streamline the prior authorization process for ASCs and physicians. It also requires...
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