ASC Quality Measures

Similar to physicians reporting on quality measures through the PQRS program for clinic services, ambulatory surgery centers (ASCs) began reporting on specific quality measures as of October 1, 2012. ASCs that do not successfully report these measures face reimbursement reductions beginning in 2014.

ASCs report five measures on their individual claims. Measures are reported when traditional Medicare is the primary or secondary payer as well as Railroad Medicare. Medicare Advantage plans are not included.

In addition, ASCs are required to report on two “structural” measures through the Quality Net web based system. The first reporting will occur between July 1 and August 15, 2013. The data for these two measures relates to ALL ASC patients (Medicare and non-Medicare). We anticipate further direction from CMS on how to complete this task on the Quality Net system.

For additional information on this program, visit: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ASC-Quality-Reporting/index.html