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Policy
Tracking federal and state legislation, CMS rulemaking, and the regulatory rhythm that reshapes ambulatory surgery economics.
Edited by Brent Reilly · 2 reporters · Updated continuously
- CMS turns on prior authorization for ASC services in 10 states
A five-year Medicare demonstration now requires prior authorization for five service categories — including vein ablation and blepharoplasty — with claims subject to prepayment review if centers opt out.
Why it matters: Traditional Medicare has been the no-prior-auth refuge; this demonstration is the template for ending that, and affected centers need a request workflow now.