ASCQR Quality Measures: Don’t Miss the May Reporting Deadline!

Feel like losing two percent of your ASC’s Medicare reimbursement in 2019? We didn’t think so. But if you’re a physician-owner and your center isn’t acing participation in the ASC Quality Reporting Program (ASCQR), that’s exactly what’s going to happen.The deadlines have passed that affect your payment in 2018, but there’s still a chance to avoid this payment pitfall in 2019 and beyond.

CMS is famous for its “carrot and stick” approaches to quality reporting, offering incentives as well as penalties depending on a provider’s level of participation. However, ASCQR is definitely just a stick. There’s no bonus for participating, but there’s a clear downside if you don’t. “CMS calls it a pay-for-reporting system, but it’s actually a fine-for-not-reporting system,” clarifies Mike Schmidt, director of certification and client success for Eye Care Leaders.

“If you don’t report certain data on your ASC’s safety and services, your ASC stands to lose two percent of your Medicare reimbursements.”—Mike Schmidt

ASCQR Quality Measures

Reports on quality measures from the 2017 data collection period are due by May 15, 2018. This submission affects your 2019 reimbursement level, so be sure to mark your calendars. You must report  eight mandatory measures, plus one voluntary measure (ASC-11). You can find them listed here.

Report quality measures in two ways:

  1. Five of the measures are claims-based—they are gleaned from your Medicare claim forms and require no action from you. These are called Quality Data Codes (or G-codes). G-codes report on incidents like burns, falls, or physician errors that take place at your ASC.
  2. You report the rest of the measures through the contractor QualityNet’s online portal. (The exception is ASC-8, which you’d online through the National Healthcare Safety Network).

If you own a single-specialty ophthalmic ASC, you won’t be performing some of the quality measures (like those referring to endoscopies). However, you must still report the measures by entering “zero” for the numerator and denominator.

Eyes Open: Your Performance Counts

Your performance on quality measures is publicly available on CMS’ Hospital Compare website. Consumers may visit Hospital Compare to help them make decisions about where to go for care. Your performance won’t affect your reimbursement under ASCQR. But, poor performance could still impact your revenue by affecting a patient’s decision to visit your center.

Stay tuned for part two of our series on ASCQR: the OAS CAHPS survey…

Let’s Connect

Drop a line for our sales representative to get in touch with you

  • This field is for validation purposes and should be left unchanged.

Latest Article

images

Contact lens safety: What you need to know

  • 20 Oct 2021

Contact lenses create perfect vision for tens of millions of Americans, but make sure you know the rules for using them correctly According to the U.S. Food and Drug Administration (FDA),...

images

Does your EHR have the right certifications?

  • 18 Oct 2021

Ensure your certifications are correct so you don’t miss out on CMS payments Certification is a big deal when it comes to selecting an electronic health record (EHR) prov...

images

Which states require EPCS?

  • 29 Sep 2021

[vc_row][vc_column][vc_column_text] Electronic Prescriptions for Controlled Substances becoming a standard across the country EPCS is increasingly becoming a standard across the United S...

Download Article

test
test