ASC Association Publishes 10 FAQs on New Quality Reporting Program

December 02, 2011 | Print  |

The Ambulatory Surgery Center Association has published 10 FAQs on the new quality reporting program for ASCs, according to a report in the ASCA Government Affairs Update.

 

CMS recently announced details on the quality reporting program, which will begin in 2012.

 

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ASCA answers the following questions on its Medicare ASC Quality Reporting FAQs webpage:

  1. What measures will we be required to report? When will we be required to report them?
  2. How will the 2% penalty be calculated and applied?
  3. My ASC is run by a management company. Can the corporate office report my facility’s data for me?
  4. Will Medicare evaluate our ASC’s performance based only on whether we report the data as required, or do we have to achieve certain results? In other words, will CMS penalize us if we fail to meet certain benchmarks?
  5. Do we have to report data for Medicare patients only or for all patients?
  6. Do we report data on claims for Medicare beneficiaries if they are for non-covered services?
  7. Should an ASC report a charge or leave the charge field blank when reporting a QDC on a claim?
  8. Will my ASC receive a Remittance Advice (RA) associated with a claim that contains the ASC QDC line-item?
  9. We forgot to put the QDC code on a claim. Can we resubmit the claim with the proper QDC codes attached?
  10. We submitted a claim that was denied, but the error has been corrected and we plan to resubmit the claim. Do we include the QDCs again?

 

More Articles Featuring ASCA:

ASCA Urges Compliance With 2012 Medicare Safe Surgery Checklist Requirement

CMS Final Rule Met With Mixed Reviews From ASC Leaders

Four New Lawmakers Support ASC Quality and Access Act of 2011

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