Becker's Healthcare June 1, 2023
CMS’ policies have the power to turn the tide of the surgery center industry. Here is how those policies have both helped and hurt ASCs in 2023.
Helped
- CMS updated ASC payment rates to 3.8 percent in its 2023 “Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Proposed Rule.”
- In December, CMS submitted a 134-page proposal designed to improve prior authorizations for Medicare and Medicaid patients through automating the process and improving workflows. The proposal requires certain payers to address the administrative hassles of prior authorization by requiring the implementation of an automated process, meeting shorter time frames for decision-making and improving transparency.
- In its 2023 final rule, CMS implemented a policy...
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