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