Quality Reporting Start Date Approaches; ASCs Gear Up for Change
ASCA Government Affairs Update report.
The quality data G-codes correspond to the occurrence of four adverse events — patient burn, patient fall, wrong site/side/patient/procedure/implant and hospital transfer/admission — and the timing of prophylactic IV antibiotic administration. The G-codes will be located under the procedure codes in box 24 D of the CMS-1500 claim form, according to ASCA.
ASCs will report either two or five G-codes on the claims form, meaning:
• One G-code that corresponds to the patient's experience with prophylactic IV antibiotic administration on all claims.
• An additional G-code (G-8907) if the patient does not experience any of the four adverse events.
• An additional four G-codes, each corresponding to one of the four events, if the patient does experience one or more of the events.
Click here to download ASCA's G-codes cheat sheet.
ASCs must submit at least 50 percent of their Medicare claims with quality data G-codes between Oct. 1 and Dec. 31 to be considered successful reporters. G-codes are only appropriate on claims where Medicare is the primary payor until Jan. 1, 2013, when they are appropriate for claims where Medicare is the primary or secondary payor.
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