ASC Quality Reporting
The Ambulatory Surgical Center Quality Reporting (ASCQR) Program is a pay-for-reporting, quality data program finalized by the Centers for Medicare & Medicaid Services (CMS). Under this program, ASCs report quality of care data for standardized measures to receive the full annual update to their ASC annual payment rate, beginning with Calendar Year (CY) 2014 payments.
Initial program requirements were included in the CY 2012 Outpatient Prospective Payment System (OPPS)/ASC final rule, CMS-1525-FC, and the FY 2013 Inpatient Prospective Payment System (IPPS) rule.
Read more about the Ambulatory Surgical Center (ASC) Quality Reporting Program in the most recent final rule found here.
ASC Quality Reporting Measures
The Centers for Medicare & Medicaid Services (CMS) seeks to develop a comprehensive set of quality measures to be available for widespread use for making informed decisions and quality improvement in the ambulatory surgical center (ASC) setting. For the CY 2021 payment determinations, a variety of data sources were used to determine the quality of care that Medicare beneficiaries received, including measures submitted via a web-based tool and Quality Data Codes placed on the CMS claim form, both completed by the facility, or through Medicare administrative claims information.
CMS continues to evaluate measures, ensuring meaningful information is collected to ensure quality of care, removing measures that are no longer needed and adding measures to continue the quality improvement process. Measures planned for future implementation will focus on intraoperative and post-operative care.
Measures for the CY 2021 Payment Determination
- ASC-9 Endoscopy/Polyp Surveillance: Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
- ASC-11 Cataracts: Improvement in Patient’s Visual Function within 90 Days Following Cataract Surgery*
- ASC-12 Facility 7-Day Risk-Standardized Hospital Visit Rate after Outpatient Colonoscopy
- ASC-13 Normothermia
- ASC-14 Unplanned Anterior Vitrectomy
* ASCs may voluntarily submit data for CY 2019 but will not be subject to a payment reduction with respect to this measure during the voluntary reporting period.
** Does not require any additional data submission apart from standard Medicare Fee-for-Service claims.
Please note ASC measures 1-4 were suspended effective with the Calendar Year 2021 Payment Update.
Data collected through the ASCQR program is publicly reported so people with Medicare and other consumers can find and compare the quality of care provided at ambulatory surgical centers. Publishing these data can improve facility performance by providing benchmarks for selected clinical areas and public view of facility data.
The CMS Hospital Compare website publishes information on the quality of care provided to patients; this information is made available to inform consumers and to encourage healthcare facilities to make continued improvements in care quality. Hospital Compare is generally refreshed bi-annually for the ASCQR program. Information on Public Reporting can be found in Section 1833(t)(17)(E) of the Social Security Act and requires that the Secretary establish procedures to make data collected under the ASCQR program available to the public.
Submit questions and search for answers on the ASCQR Program through the Quality Question and Answer Tool or call the Hospital OQR Support at (866) 800-8756 weekdays from 7 a.m. to 6 p.m. Eastern Time.