ASCA claims victory in quality reporting
In what the Ambulatory Surgery Center Association (ASCA) is labeling a victory in the final ASC quality reporting elements, the Centers for Medicare and Medicaid Services (CMS) accepted the association's proposal to exclude any secondary payer claims from the data completeness calculation.1
CMS will use only claims in which Medicare is the primary payer in calculating data completeness, the ASCA said.1
"As suggested by ASCA, the agency is excluding secondary claims from the calculation of successful reporting for the first year to account for the fact that ASCs will not be submitting secondary claims with G-codes until Jan. 1, 2013," the ASCA said in comments to Same-Day Surgery. The association is waiting for the details of public reporting.
According to the ASCA, CMS incorporated other feedback from ASCA, such as providing more flexibility to ASCs. As recommended by ASCA, CMS finalized the data completeness threshold at 50%, which gives ASCs some flexibility as they will be considered successful reporters if they include the quality data codes on 50% or more of their Medicare claims.
"Another addition is deciding not to validate the data through a burdensome process such as a medical record review," the ASCA said.1
A copy of the final changes is available at http://bit.ly/NgCpGb. The relevant part of the notice begins on page 1,534. The implementation date of the quality reporting program is Oct. 1, 2012.
Reference
- Ambulatory Surgery Center Association. Additional ASC quality reporting elements finalized. Gov Affairs Update 2012; 2(29). Accessed at http://bit.ly/TkLL4q.
Resources
The Ambulatory Surgery Center Association (ASCA) recently held a webinar on ASC quality reporting. A list of frequently asked questions is available at http://bit.ly/MULDoT. Slides and a video are available at http://bit.ly/KlJBuX.
In what the Ambulatory Surgery Center Association (ASCA) is labeling a victory in the final ASC quality reporting elements, the Centers for Medicare and Medicaid Services (CMS) accepted the association's proposal to exclude any secondary payer claims from the data completeness calculation.You have reached your article limit for the month. Subscribe now to access this article plus other member-only content.
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