MEDICARE MONITOR Reminder: Submit New Quality Data or See Medicare


Payment Reductions Between July 1 and August 15, 2013, ASCs must report on their use of a safe surgery checklist and the volume of certain procedures. BY JONATHAN BEAL


T


his summer, ASCs that provide services to Medicare beneficia- ries must report 2012 volume data for


Surgical Procedures Requiring Volume Reports Organ System CMS Procedure Category


certain procedures and verify their use of a safe surgery checklist during 2012. ASCs that fail to report this information will face payment reductions from Medicare in 2015. ASCs must report this information via Medicare’s QualityNet web site (www.qualitynet.org).


This article


provides what you need to know to meet these new Medicare reporting requirements.


Gastrointestinal


Getting Started Before your ASC can use Medi- care’s QualityNet web site to file the reports required between July 1 and August 15, you must register a QualityNet security administrator for your ASC by submitting paperwork to the Centers for Medicare & Medicaid Services (CMS). The registration process might take several weeks to complete, so if your ASC has not already registered a security admin- istrator, this step should be taken immediately. For more informa- tion, go to www.ascassociation.org/ QualityNetInstructions. To ask ques- tions about the process, contact the QualityNet Help Desk, 7:00 a.m. to 7:00 p.m., Central Time, Mon- day–Friday, at 866.288.8912, or by email at qnetsupport@sdps.org. Once CMS processes your applica- tion for a security administrator,


it


will send your ASC login informa- tion that your security administra- tor will use to sign into the web site and report the safe surgery checklist use and surgical volume data that is required.


Skin Repair of surrounding eye structures


Swallowing tube (esophagus) Hernia repair


GI screening procedures Kidney stone fragmentation Bladder related procedures


Genitourinary Prostate biopsy


Radiologic procedures (GU) Ultrasound procedures (GU)


Joint or muscle aspiration or injection Removal of musculoskeletal implants Repair of tendons and ligaments Repair of foot, toes, fingers, and wrist


Musculoskeletal


Removal of musculoskeletal lesion Joint arthroscopy


Musculoskeletal drug injection


Injection procedures in or around the spine


Nervous Device implant Nerve decompression


Repair of foot, toes, fingers, and wrist Skin procedures


Eye


Organ transplant (eye) Laser procedure of eye Glaucoma procedures Cataract procedures Injection of eye


Retina, macular and posterior segment procedures


Repair of surrounding eye structures GI endoscopy procedures


Surgical Procedure Codes 65756, V2785


65855, 66761, 66821 66170, 66180 66982, 66984


67028, J2778, J3300, J3396


67041, 67042, 67210, 67228


67900, 67904, 67917, 67924


43239, 43235, 43248, 43249, 43251, 44361, 45330, 45331, 45378, 45380, 45381, 45383, 45384, 45385


43450 49505


G0105, G0121 50590


52000, 52005, 52204, 52281, 52310, 52332,


55700 74420 76872 20610 20680 23412


26055, 28270, 28285, 28296, 29848


26160


29824, 29826, 29827, 29880, 29881


J0585


62310, 62311, 64479, 64483, 64484, 64490, 64491, 64492, 64493, 64494, 64495, 64633, 64634, 64635, 64636, G0260


63650 64718 64721


11042, 13132, 14040, 14060, 15260, Q4101, Q4102, Q4106


15823 ASC FOCUS JULY 2013 25


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