Becker's Healthcare November 24, 2025
CMS will make significant changes to ASC and outpatient surgery reimbursement next year.
In the 2026 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Final Rule, published Nov. 21, CMS outlined plans to increase ASC pay and allow for more procedures in surgery centers.
“CMS acknowledges in this rule that ASCs can provide safe care to many more beneficiaries for a much wider range of procedures than is currently available,” said Bill Prentice, ASCA CEO. “While more work is needed to address structural payment issues that limit surgery centers’ ability to perform certain procedures, Medicare beneficiaries will greatly benefit from the finalized policies in this rule.”
Five things to know:
1. CMS updated the ASC payment rate by 2.6%...
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