Prior Authorization Demonstration Audits for Certain ASC Services Start in January 2026
(December 09, 2025): The Government Accountability Office (GAO) has long expressed concerns regarding the fraud, waste and abuse risks inherent in the Medicare program. In fact, GAO first designated Medicare as a “High Risk” program due to its size, complexity and susceptibility to improper payments.[1] Throughout 2025, Medicare providers and suppliers were subjected to significant […]
Prior Authorization Demonstration Audits for Certain ASC Services Start in January 2026 Read More »




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