Episode 2: CMS's Next Test Case: Prior Authorization for Specialty Surgery

CMS is launching a five-year prior authorization demonstration for select outpatient procedures performed in ambulatory surgical centers. The program is limited to a few states — including Florida, Texas, Tennessee, and Georgia — but these markets represent some of the largest and fastest-growing healthcare regions in the country. This episode explains what CMS is testing, why these procedures were chosen, and how the results could shape future reimbursement and compliance expectations nationwide.

Listen to the episode here.

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