Colonoscopy Measure (OP-32)

The Facility 7-Day Risk-Standardized Hospital Visit Rate after Outpatient Colonoscopy measure will report patient outcomes so facilities can improve quality of care for patients undergoing low-risk colonoscopies at Ambulatory Surgical Centers (ASCs) and Hospital Outpatient Departments (OPDs). The Centers for Medicare & Medicaid Services (CMS) began public reporting for the measure in December 2017 and anticipates updating the Colonoscopy measure results annually.

For more information on the measure, refer to the Measure Methodology page and Frequently Asked Questions document. For the measure updates and specification report and additional information, refer to the Resources page. For previous years’ resources, refer to the Archived Resources page.

For Calendar Year (CY) 2020 Payment Determination

For CY 2020 payment determination, measure performance results will be calculated based on data from January 1, 2016 – December 31, 2018 and will be publicly reported on Hospital Compare in January 2020 or shortly thereafter. Prior to public reporting of the measure, CMS plans to make available via the QualityNet Secure Portal two different types of reports to facilities: Claims-Detail Reports (CDRs) and Facility-Specific Reports (FSRs).

  • 1 Claims-Detail Report (CDR)
    • Released in March of 2019 (or shortly thereafter) and containing data from January 1, 2016 – November 30, 2018.
  • 1 Facility-Specific Report (FSR)
    • Released in October 2019 (or shortly thereafter) and based on data from January 1, 2016 – December 31, 2018.

For Calendar Year (CY) 2019 Payment Determination

For CY 2019 payment determination, measure performance results were calculated based on data from CY 2017 and were publicly reported on Hospital Compare in February 2019. Prior to public reporting of the measure, CMS made available via the QualityNet Secure Portal two different types of reports to facilities: Claims-Detail Reports (CDRs) and Facility-Specific Reports (FSRs).

  • 3 Claims-Detail Reports (CDRs)
    • Released in September and December of 2017, and March of 2018, and containing data from a portion of CY 2017.
  • 1 Facility-Specific Report (FSR)
    • Released in October 2018 and based on data from CY 2017.

For more information on the FSRs or CDRs, refer to the Reports page.

Questions and Comments

Please submit questions about the Colonoscopy measure to the Outpatient and ASC Question and Answer tool. To ensure proper handling of inquiries, reference the hospital’s CMS Certification Number (CCN) for HOPDs or organizational National Provider Identifier (NPI) for ASCs. Do NOT email your CDR or FSR nor submit patient-identifiable information (e.g., date of birth, social security number, health insurance claim number, dates, procedure codes) to this address. Sending screenshots and/or describing a patient listed in your CDR or FSR is considered Protected Health Information (PHI).

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