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Latest Quality Reporting Guidelines Released; All ASCs Must Report All 5 Measures
CMS has released its latest iteration of the ASC Quality Reporting Program Measures Specification Manual. For calendar year 2014 payment determinations, reporting is required for claims with dates of service beginning October 1, 2012 through December 31, 2012 to avoid a 2 percent reduction in Medicare payments in 2014. Clarifying an earlier issue regarding ophthalmic ASCs and reporting on all five claims-based measures during the reporting period, CMS states (pp. 5, 16-18) that all ASCs are required to report on all five measures for all Medicare fee-for-service patients, regardless of specialty or procedure performed, even if there is no indication for or order for perioperative antibiotics.
For ASC-5: Prophylactic Intravenous (IV) Antibiotic Timing, G8918 is to be reported for patients with no indication for or no order for IV antibiotic prophylaxis for surgical site infection. This does not place a case with this code in the denominator, but is necessary for calculating the completeness of reporting.
The minimum reporting threshold requirement is 50%.
For further information or questions, please contact Jenny Liljeberg, associate director of regulatory affairs, at email@example.com.