Advocacy News

The Centers for Medicare & Medicaid Services (CMS) has introduced a new pilot program requiring prior authorization (PA) for fee-for-service Medicare for certain services in ambulatory surgical centers (ASCs).

The final rule could affect about 4,000 hospital outpatient departments and 6,000 ambulatory surgical centers (ASC).

With the help of the American Society of Ophthalmic Plastic and Reconstructive Surgery, the Outpatient Ophthalmic Surgery Society, and the North American Neuro-Ophthalmology Society, the Academy has persuaded the Centers for Medicare & Medicaid Services (CMS) to delay the start of the prior authorization (PA) pilot in ambulatory surgical centers.

The Academy is pushing for a delay in implementation for the pilot, scheduled to start on Dec. 15.

What you need to know about CMS’ plan to expand prior authorization for some ambulatory surgical center services in 10 states.

The proposed rule could affect about 3,500 hospital outpatient departments and 6,100 ambulatory surgical centers (ASC).

The final rule could affect about 3,500 hospitals and 6,100 ambulatory surgical centers (ASC). Here are the key takeaways.

Aetna responded to the Academy's concerns on corneal tissue reimbursement for ASCs and outlined what to do if you encounter payment issues.

The proposed rule for 2025 Medicare payment rates for hospital outpatient and ambulatory surgical centers includes a 2.6% payment bump.

Our joint comments to the Centers for Medicare & Medicaid Services outlined our opposition to its proposal to pilot a new prior authorization requirement for ambulatory surgical centers (ASCs) delivering certain Medicare Part B services.