Ambulatory Surgical Center Quality Reporting (ASCQR) Program

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. CMS uses a variety of data sources to determine the quality of care that Medicare beneficiaries receive.

Ambulatory Surgical Centers (ASC) claims data submitted by facilities for Medicare Part B fee-for-service patients are used for the measure sets listed below. Each measure is calculated using a separate, distinct methodology and, in some cases, separate encounter periods.

  • Measures ASC-1 through ASC-5 utilize Quality Data Codes placed by the ASC on the Form CMS-1500, version 02/12, or associated electronic data set where Medicare is the primary or secondary payer.
    • Colonoscopy Measure – This outcome measure for the ASC settings is meant to provide facilities with information on patient outcomes that will allow them to improve quality of care for patients undergoing low-risk colonoscopy.
    • Data for other measures are reported via an online tool, either directly to CMS through the QualityNet Secure Portal or to the National Healthcare Safety Network.

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