Quality Reporting Updates ASCs Should Know
ASC Quality Reporting Measures
In 2020, ASCs are required to report data on the below measures in order to avoid a reduction in the following year’s Medicare reimbursement:
- ASC-9: Endoscopy/Polyp Surveillance: Appropriate Follow-up Interval for Normal Colonoscopy in Average Risk Patients
- ASC-11: Cataracts: Improvement in Patient’s Visual Function within 90 Days Following Cataract Surgery (remains voluntary)
- ASC-12: Facility 7-Day Risk-Standardized Hospital Visit Rate After Outpatient Colonoscopy
- ASC-13: Normothermia Outcome
- ASC-14: Unplanned Anterior Vitrectomy
- ASC-17: Hospital Visit After Orthopedic Ambulatory Surgery Procedures
- ASC-18: Hospital Visit After Urology Ambulatory Surgery Procedures
Measures that are currently unavailable for ASCs to select from are:
- ASC-1: Patient Burn
- ASC-2: Patient Fall
- ASC-3: Wrong Site, Wrong Side, Wrong Patient, Wrong Procedure, Wrong Implant
- ASC-4: All-Cause Hospital Transfer/Admission
- These measures have not been removed from the ASCQR Program, but they remain suspended until further rule making.
- ASC-19: Hospital Visit After General Ambulatory Surgery Procedures
- This measure has been approved but data won’t start being collected until Jan. 1, 2021.
How to Report
ASCs must report data for measures ASC-9, ASC-11 (a voluntary measure), ASC-13, and ASC-14 through the QualityNet website by May 15, 2020. To access the secure portal, each facility must have an active security administrator login; it is recommended that you have at least two per facility. To ensure the account remains active, the administrator(s) must sign-in frequently (at least every 60 days). Please note that even if you do not perform the specific procedures related to those measures, you still need to report by entering a zero for both the numerator and denominator.
There is no data submission or reporting required of ASCs for measures 12, 17, and 18. Rather, data is pulled by CMS from the Medicare Fee for Service administrative claims billed by the facility. These reports, which include patient-level data, will be uploaded to the QualityNet Secure Portal.
Measure ASC-19 is also administrative claims-based, so there will be no data submission required by ASCs when this starts in 2021.
The ASCQR Program remains a pay-for-reporting and not pay-for-performance system. All you have to do to ensure there are no payment reductions for your facility is complete data submission reporting each year per the Specifications Manual ASC Quality Reporting. With that said, happy reporting this year.
LEARN MORE: Join guest speaker Gina Throneberry, director of education and clinical affairs for the Ambulatory Surgery Center Association (ASCA), for a free 20-minute webinar that will cover CMS quality reporting on Jan. 27, at 11 a.m. PST / 2 p.m. EST. Register today.
ADDITIONAL RESOURCE: Through the Quality Reporting Center website, you can perform research and compare ASCQR Program quality measure information for the past payment year. There is also the option to access measure data from other ASCs by their city and state or ZIP code for comparison purposes.