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Episode 255 - News and Latest Trends in the ASC Industry, Report on AO Performance, and an Interview with Kara Newbury about the 2026 Proposed ASC Payment Rule - September 21, 2025
ASC Podcast with John Goehle
43 minutes
1 month ago
Episode 255 - News and Latest Trends in the ASC Industry, Report on AO Performance, and an Interview with Kara Newbury about the 2026 Proposed ASC Payment Rule - September 21, 2025
In this episode of the ASC Podcast with John Goehle, we discuss the latest news and trends in the ASC industry, discuss the Annual Report to Congress by CMS on the Program Oversight of Accrediting Organizations and in our focus segment, we interview Kara Newbury from ASCA about the 2026 Proposed CMS ASC Payment Rule.
This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and Ambulatory Healthcare Strategies.
Notes and Resources from this Episode:
Anesthesia Time Limit Laws (From Beckers):
https://www.beckersasc.com/anesthesia/anesthesia-time-limit-laws-where-3-bills-stand/?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=0573H1191845C8E
CMS Prior Authorization:
https://ascnews.com/2025/09/ascs-still-struggling-with-prior-authorization-despite-payer-pledges/
QSO-25-25-AO/CLIA - FY 2022 Report to Congress (RTC): Review of Medicare’s Program Oversight of Accrediting Organizations (AOs) and the Clinical Laboratory Improvement Amendments of 1988 (CLIA) Validation Program:
https://www.cms.gov/files/document/qso-25-25-ao/clia.pdf
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Important Resources for ASCs:
Conditions for Coverage:
https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150
Infection Control Survey Tool (Used by Surveyors for Infection Control)
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf
Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf
https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som
Policy & Memos to States and Regions
CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions
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Books by John Goehle
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