ASC Industry Braces for More Red Tape as CMS Pushes Medicare Prior-Authorization Demo

Ambulatory surgery centers (ASCs) in 10 states will soon face new prior-authorization requirements for a handful of procedures, as the Centers for Medicare & Medicaid Services (CMS) expands its oversight efforts into the space. The five-year demonstration, announced earlier this month, is designed to test whether earlier documentation review can reduce improper payments while still protecting beneficiary access, according to CMS. CMS has long turned to prior authorization as a way to keep unnecessary care and fraud in check.

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Source: https://ascnews.com/2025/09/asc-industry-braces-for-more-red-tape-as-cms-pushes-medicare-prior-authorization-demo/

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