September 23, 2025

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

43 minutes

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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By John Goehle

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