QASP Provider Enrollment

What is measured?

The various Provider Enrollment QASP standards measure accuracy and timeliness of application processing, accuracy of revocation/revalidation processing, accuracy and timeliness of application appeal processing, change of information timeliness, and accuracy of (Provider Enrollment Chain Operating System (PECOS)) data entry. In 2018, CMS began the use of critical elements.

Performance Data

Fiscal Year

Average QASP Score

Low

Median

High

2015

62%

12%

67%

100%

2016

75%

39%

80%

100%

2017

79%

45%

77%

100%

2018

55%

7%

59%

77%

Trends and Observations

An overall positive trend can be observed from Fiscal Year 2015 – 2017, however there was a dip in performance in is reversed in 2018. This is partially due to CMS raising the performance threshold for several of the QASP PE standards, instituting “critical elements” in its scoring methodology, as well as adding a brand new standard related to provider opt-out affidavits. Overall there has been a decrease in performance of 7 percentage points (11% decrease) since 2015. Every year, except 2018, at least one MAC was in 100% compliance.

Page Last Modified:
09/27/2019 11:49 AM