The Centers for Medicare and Medicaid Services recently released the final rule of the 2018 ASC Payment System, giving ambulatory surgical centers a payment increase of 1.2 percent. The policy update also adds three new procedures to the list of covered procedures, as well as making changes to the ACS Quality Reporting program. READ MORE
The Centers for Medicare and Medicaid Services (CMS) wants to give most Medicare providers a modest pay increase for 2018, though not all providers will see the benefits. READ MORE
Participating in Medicare’s Ambulatory Surgical Centers Quality Reporting will be strangely familiar for ASCs in 2017, as the program’s requirements to avoid a reduction of 2.0 percentage points in their annual payment update remain virtually unchanged from the previous year. READ MORE
The Centers for Medicare and Medicaid Services (CMS) annually updates Ambulatory Surgical Center payments. That payment update rate, however, is adjusted each year for each ASC based on its performance in the Ambulatory Surgical Center Quality Reporting Program. READ MORE
The Centers for Medicare and Medicaid Services (CMS) recently extended the deadline for Ambulatory Surgical Centers submitting several web-based measures under the ASC Quality Reporting Program. READ MORE
Several deadlines for the Ambulatory Surgical Center Quality Reporting Program are fast approaching, and with new measures being implemented and ICD-10 coming, the Centers for Medicare and Medicaid Services has made several updates to the program and its documentation. READ MORE
The Centers for Medicare and Medicaid Services (CMS) annually updates Ambulatory Surgical Center (ASC) payments for inflation by the percentage increase in the Consumer Price Index for all urban consumers and an additional multifactor productivity adjustment. The annual payment update for 2015 is 1.4 percent. That payment update amount, however, is adjusted each year for each ASC based on their performance in the Ambulatory Surgical Center Quality Reporting Program. Here’s what’s new. READ MORE
For the first time since the Centers for Medicare and Medicaid Services’ implementation of the Ambulatory Surgical Quality Reporting Program, ambulatory surgical centers must begin reporting measure ASC-8, Influenza Vaccination Coverage Among Healthcare Personnel. READ MORE
The Ambulatory Surgery Center Quality Reporting Program requirements for 2014 to avoid a payment adjustment for 2016 include two new web-based measures. The data collection for those measures began on April 1, 2014, though the submission of that data is not required until 2015. READ MORE
Beginning in 2012, the Centers for Medicare and Medicaid Services (CMS) implemented the Ambulatory Surgical Center Quality Reporting (ASCQR) Program, which mandated a 2.0% payment adjustment each year for non– or unsuccessful participating ASCs starting with 2012 dates of service for 2014 payments.
To avoid the 2014 2.0% payment adjustment, ASCs had to submit QDCs for five measures on 50% of primary Medicare claims for 2012 dates of service. To avoid the 2015 2.0% payment adjustment, ASCs had to submit QDCs for five measures on 50% of primary and secondary Medicare claims for 2013 dates of service and had to report two web-based measures in July-August 2013 for 2012 dates of service.
To avoid the 2.0% payment adjustment penalty in 2016, ASCs must participate in all of the following ways in 2014 & 2015:
1. Submit quality data codes for claims-based Measures 1-5 on at least 50% of all Medicare Primary and Secondary claims for 2014 dates of service prior to April 2015.
2. Submit web-based data for Measures 6-7 and 9-11 between January and August 2015 as follows:
- Measure 6 attests to the use of a safe surgery checklist for 2014 dates of service,
- Measure 7 lists volume data on selected procedures for 2014 dates of service, and
- Measures 9-11 cover percentages of performance on chart-abstracted sample data for April-December 2014 dates of service. (Although these measures are for colonoscopies and cataract surgeries, all ASCs, regardless of specialty or case mix, will be required to report them. Presumably, for ASCs who do not perform these types of services, the denominator and numerator will both be 0, and they will report 0%.).
3. Submit data about influenza vaccination coverage among all health personnel for Measure 8 to the CDC’s National Healthcare Safety Network (NHSN) between October 2014-March 2015 (http://www.cdc.gov/nhsn/ ).
New for the 2014/2015 reporting year (2016 Payment Adjustment year), ASCs with fewer than 240 Medicare Primary and Secondary claims per year (60 per quarter) are not required to participate. Also, ASCs can choose to withdraw from the ASCQR program to avoid results being made public, but doing so automatically subjects ASCs to the 2.0% payment adjustment for that year.
What should you do now?
- Determine today if you are already participating in ASCQR.
- If you are participating, continue submitting quality data for 2013 so that you can avoid the 2015 payment adjustment.
- Also, plan to continue participation in 2014. Specifically, continue submitting quality data for measures 1-5, ensure you are using a safe surgery checklist, and review measures 8-11 to ensure your facility utilizes vaccination coverage and documentation guidelines to sufficiently report these measures which are new for 2014. Download the most recent Specifications Manual for more information on the program and individual measures. (There are no web-based measures to report for 2013 dates of service in 2014. However, you will have to report web-based measures for 2014 dates of service in 2015.)
- If you are not participating, begin participating today.
- Register for and/or maintain active Quality Net Security Administrators to ensure access for submitting web-based data again in 2015 (https://www.qualitynet.org/ ).
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