Updates to the ASC Quality Payment Program for 2017 and Beyond
The sole purpose of ASC program is to provide better payments to physicians without any obstacles. Based on the reports, the payments will be provided. To make such reports in quality level some of the new ideas are implemented for getting better payments in the same year. The change of this year will be continued up to 2019 until the better systems over change this quality program.
What is ASC?
Before getting deep down, let us be clear with what is ASC. It has got an abbreviation Ambulatory Surgical Center which was found to provide same day care to patients. The same day care included all diagnostic and therapeutic treatments which can be provided to patients. This has created an Ambulatory Surgical Center quality reporting program which pays the physician for better reporting of patients admitted and treatments provided for them.
Currently this has got some new changes which will change the total scenario of ASC with outflowing better profits for the physicians. The coding which are introduced in this system will be far easy when concerning with older methods and reporting program.
New updates
Reporting data
The collection of data must be reported to providers about the performance and all the details on treating the patients and many more. In this reporting data the physicians are asked to provide perfect set of data which will lead insurance providers to supply no negative payments or denials.
Include the performance year
The Central for Medical and Medicaid Services (CMS) helps the physicians to access the performance of the current year and include their details of performance within 90 days. The current year performance starts from January 1, 2017.
By getting this information’s of the current year, the data has to be reported only through Quality Data Codes (QDC) through the form CMS-1500 or in web based manner. By introducing this method the data will become electronic completely and no errors will happen in electronic data.
Reduction in payments
If the reports are not provided in such formats of QDC then the CMS has got full authority to detect 2.0% from the payments of the physician without any issues. This is how the reduction happens in payments. Since the time limit for sending the electronic data is 90 days it will be quiet useful for physicians to submit the data on time.
The new measures
There are seven new measures which are covered in new ASC Quality Payment Program. The seven are explained below
ASC-13
Normothermia outcome has allowed to report after the arrival of patients to post-anesthesia care unit which takes care of surgery for 60 minutes or extra 15 minutes.
ASC-14
The cataract surgery patients may have some unplanned anterior vitrectomy which can be calculated using the new ASC-14 scheme.
ASC-15(a-e)
This contains the feedback program from patients about the service of faculties and treatment improvements, care survey and overall experience of the patient in medical care industry.
From all these new measures, reports should be sent to CMS for getting improved payments and better data maintenance within the electronic system.
