There have been a few changes this year for Ambulatory Surgery Centers (ASC). The majority of the changes address quality reporting. ASC-12 will need to be reported for Facility Seven-Day Risk Standardized Hospital Visit Rate after an outpatient colonoscopy. The Centers for Medicare & Medicaid services (CMS) will be changing the ASC-11 Cataracts Improvement in a patient’s visual function within 90 days from required to voluntary.
CMS has also made some minor changes to the payment indicators. Information can be found at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ASCPayment/11_Addenda_Updates.html. Information is listed under the Addenda updates.
Medicare will be accepting claims with the X modifier, which defines subsets of the 59 modifier. Information can be found at http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8863.pdf.
An ASC is still required to report on quality data G-code on five measures again this year. There are a total of fifteen measures.