Written By Angela Mattioda

It’s 2014, which means a successful year is upon us!

In order to get where we want to be, there are some Medicare quality measures reporting changes that are being implemented in 2014 that need to be brought to your attention.

First of all, we should mention there will be no changes in 2014 for claims-based measures, which is what abeo reports on the clients behalf when you provide the PQRS checklist for Medicare primary and Medicare secondary cases.

The upcoming changes are in regards to the web-based measures that are reported by the center. The penalty will remain the same if the ASC does not participate or chooses to withdraw in 2014. The center will incur a 2 percent reduction in any subsequent year the ASC is not participating. Please keep in mind, if you do choose to withdraw, participation status cannot be reinstated in the same year.

There will be three additional web-based Medicare quality measures to report, if applicable to your center. The data will be collected, starting April 1. There will be additional information released by the end of January in order for each center to have two months to prepare. The three new measures are the following:

  • ASC-9: Endoscopy/Polyp surveillance: Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
  • ASC-10: Endoscopy/Polyp surveillance: Colonoscopy Internal for Patients with a History of Adenomatous Polyps – Avoidance of Inappropriate Use
  • ASC-11: Cataracts: – Improvement in Patient’s Visual Function within 90 days Following Cataract Surgery

For a look at the complete versions of the updates to the specifications manual, please note the two links directly below:

Ambulatory Surgical Center Quality Reporting Program Specifications Manual
Ambulatory Surgical Center Quality Reporting Measure Information and Program Requirements

You can also go to www.qualitynet.org and click on the Ambulatory Surgical Center drop-down. You can also email quality reporting support with questions at oqrsupport@fmqai.com. They are very helpful.

abeo will keep you up-to-date on when webinars will be held to cover the Medicare quality measures changes, so keep an eye out for correspondence from us. If you report web-based measures, it will be a good idea to attend to ensure you are compliant with the new updates and avoid any penalties.
Angela Mattioda is a client manager with abeo’s ambulatory surgery center services division.

abeo

abeo Management Corporation (abeo) serves as a leading source of revenue cycle management and practice management with a specialization in anesthesia. The company leverages its people, processes, and software to serve independent practices, surgery centers, hospitals and healthcare systems with a scope of services that include billing, coding, transcription, practice management, and business consulting.

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