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ASC Coding, Billing & Collections

CMS finalized a 2.83% physician pay cut in its 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System released on Nov. 1. 

CMS issued the 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System final rule Nov. 1, with slight pay bumps in each setting despite continued inflation and specialist shortages.

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ASCs and hospitals are increasingly joining forces as healthcare consolidation accelerates, and more procedures shift to outpatient settings, driven by payer preferences and patient demand for lower-cost alternatives. 

In an Oct. 16 opinion piece published in MedpageToday, Nehad Soloman, MD, a Glendale, Ariz.-based rheumatologist writes that fees for electronic fund transfers on payments made at medical practices "cut into practices' often razor-thin margins as they struggle to stay…

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