5 Key Takeaways
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1
The 2026 Medicare Physician Fee Schedule introduces policies that reduce professional reimbursement for ASC-based surgeries.
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2
CMS finalized a limited ASC payment increase, with facility rates for most ophthalmic procedures rising by 1% to 10%.
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3
A new prior authorization pilot program for ASCs will affect selected services, potentially delaying claims if not submitted.
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4
Cataract surgery reimbursement was corrected, resulting in a 3.4% increase, crucial for ASCs' revenue from ophthalmic procedures.
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5
ASCs must adapt to reduced physician payments and new documentation requirements to ensure timely payment and patient access.
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