CMS quality reporting updates in 2015

Much like with ICD-10, CMS‘ quality data collection has been somewhat of a rollercoaster for ASCs this year. Whether it’s the influenza vaccine data collection, or data collection of postoperative procedures, ASCs quality data collection hasn’t always been straightforward. The following are summaries of ASC quality measure data reporting and collection periods for calendar year 2016.

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ASC-1 through ASC-5: These claims-based measures, patient burn, patient fall, wrong site/side/patient/implant, hospital transfer/admission and prophylactic intravenous antibiotic treatment apply for all measure-relevant claims for services performed between Jan. 1, 2014 to Dec. 31, 2014.

ASC-6 and ASC-7: “Safe surgery checklist use” and “ASC facility volume data on selected ASC surgical procedures” both have data collection periods between Jan. 1, 2014 and Dec. 31, 2014. Data submission for the measures begins Jan. 1, 2015 and will go until Aug. 15, 2015.

ASC-9 and ASC-10: “Endoscopy/polyp surveillance: Appropriate follow-up interval for normal colonoscopy in average risk patients” and “endoscopy/polyp surveillance: colonoscopy interval for patients with a history of adenomatous polyps — avoidance of inappropriate use” have data collection periods between April 1, 2014 and Dec. 31, 2014. As with ASC-6 and ASC-7, the data submission window for the measures is between Jan. 1, 2015 and Aug, 15, 2014.

ASC-8: While the data collection period for “influenza vaccination coverage among healthcare personnel” began Oct. 1, 2014 and runs through Mar. 31, 2015, a data submission window has yet to be determined.

ASC-11: Data collection for “cataracts: improvement in patient’s visual function within 90 days following cataract surgery” begins Jan 1, 2015 and goes until Dec. 31, 2015, but there is no submission window for the data at this time.

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Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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