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REGULATORY REVIEW


Medicare Quality Reporting 2015 Make sure to collect and report all required data BY KARA NEWBURY


When ASCs began reporting quality data in 2012, Medicare required them to report just five quality measures, all of


which could be submitted on the claim forms that ASCs were already submitting to Medicare. By 2014, the number of measures in the ASC Qual- ity Reporting (ASCQR) Program had doubled. In addition, ASCs must now report the five additional measures via two different web sites. Three of these measures must be reported for the first time in 2015.


The New Measures ASC-8


The Centers for Medicare & Medic- aid Services (CMS) finalized ASC-8: Influenza Vaccination Coverage among Healthcare Personnel in the Calendar Year (CY) 2012 Hospital Outpatient Prospective Payment System (OPPS)/ ASC Final Rule with Comment Period (CMS-1525-FC) with an initial report- ing deadline of 2015. This gave the Centers for Disease Control and Pre- vention (CDC) time to set up ASC-8 on the National Healthcare Safety Network (NHSN), the ASC portal on CDC’s web site. For 2015, CMS finalized a reporting deadline of May 15, 2015, for this mea- sure. To report ASC-8 through NHSN as required, someone from your ASC must enroll with NHSN. This registra- tion process can take several weeks, so ASCs that are not already registered on that site are advised to register imme- diately. Go to www.ascassociation.org/ NHSNEnroll for instructions.


ASC-9 & ASC-10


In 2013, CMS proposed four new measures for the ASCQR Program. While ASCA long advocated for


18 ASC FOCUS APRIL 2015


quality reporting, the four measures that were proposed all involved data already being reported by physicians through the Physician Quality Reporting System (PQRS). In its annual comment letter to CMS in 2013, ASCA asserted that requiring ASCs to collect and report data that physicians already report creates redundant processes and imposes unnecessarily burdensome reporting requirements on ASCs. Despite our protests at that time, and additional conversations that ASCA has had and continues to have with CMS officials concerning the hurdles that ASCs face in trying to report these measures, CMS adopted three of the four measures: ■


ASC-9: Endoscopy/Poly Surveillance: Appropriate Follow-Up Interval for


Normal Colonoscopy in Average Risk Patients (NQF #0658);





ASC-10: Endoscopy/Poly Surveillance: Colonoscopy Interval for Patients with a History of Adenomatous Polyps—Avoidance of Inappropriate Use (NQF #0659); and


■ by


ASC-11: Cataracts: Improvement in Patient’s Visual Function within 90 Days Following Cataract Surgery (NQF #1536) A yearlong coordinated effort ASCA and ophthalmology


organizations, however, ultimately resulted in CMS making ASC-11 a voluntary measure in the ASCQRP. Now, although there are 11 measures in the ASCQRP, only 10 are required. For the two new endoscopy mea-


sures, ASCs were required to begin col- lecting data on procedures occurring


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