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OOSS Challenges CMS 2015 Proposed ASC Payment Rates, Urges CMS to Withdraw ASC-11 as a Voluntary Reporting Measure, and Joins ASCRS in Physician Payment Comments

On September 2, OOSS joined the AAO, ASCRS, the American Society of Retinal Specialists (ASRS), and Society for Excellence in Eyecare (SEE) in submitting comments to the Centers for Medicare and Medicaid Services (CMS) regarding its proposed 2015 ASC payment regulation.  As in past years, we strenuously objected to CMS’ use of the Consumer Price Index (Urban) as…

CMS Releases Proposed CY 2015 ASC Payment Regulation: 1.2 Percent ASC Update; Revised ASC-11 Visual Function Measure Revised to Voluntary Reporting

On July 3, the Centers for Medicare and Medicaid Services (CMS) issued its proposed CY 2015 payment rate regulation for hospital outpatient departments (HOPD) and ambulatory surgery centers (ASC).  The proposal regulation will soon be published in the Federal Register, after which time OOSS and other interested parties will have an opportunity to submit public…

Washington Update – April 1, 2014

CATARACT QUALITY MEASURE START DATE HAS ARRIVED WITH AS MANY QUESTIONS AS ANSWERS OOSS members are well aware that the reporting period for ASC 11: Cataracts—Improvement in Patient’s Visual Function Within 90 Days Following Cataract Surgery commences on April 1.  Inconsistent and incorrect interpretations and clarifications regarding collection and reporting requirements by CMS and QualityNet…

Washington Update – March 12, 2014

CMS RELEASES REVISED (AND STILL UNSATISFACTORY) CATARACT MEASURE SPECS WHAT YOU MUST DO TO COMPLY; WHAT OOSS IS DOING TO RESOLVE THE PROBLEM Since last summer, OOSS has worked tirelessly with the ophthalmology and ASC communities to reverse CMS’ initiative to require facilities to report on ASC 11: Cataracts—Improvement in Patient’s Visual Function Within 90…

CMS Delays Reporting Deadline for Two ASC Measures

As OOSS members are aware, the reporting period for two web-based measures – Measure ASC-6, Safe Surgery Checklist Use; Measure ASC-7, ASC Facility Volume Data on Selected Surgical Procedures – was originally scheduled to commence on July 1, 2013 and extend through August 15.  Due to technical problems, the start date was delayed by ten…

OOSS Demands Higher Annual Update and Withdrawal of Misguided Cataract Quality Measures in Comments to CMS

On September 6, the Outpatient Ophthalmic Surgery Society (in collaboration with the Academy, ASCRS, and ASRS) submitted formal comments to the Centers for Medicare and Medicaid Services (CMS) on its proposed rule to update ASC payment rates and expand quality reporting requirements for ASCs. As in past years, we strenuously objected to CMS’ use of…

MedPAC Staff Recommends Zero Update for Surgery Centers in 2015

On December 12, the staff to the Medicare Payment Advisory Commission (MedPAC) recommended that ASCs be afforded no update in facility fees in 2015.  MedPAC staff also recommended that facilities be subject to some form of Medicare cost reporting. The Commission will take up the staff recommendations in January. Because access to ASC services continues…

OOSS Critical of New Quality Measure and Patient Experience Survey

ASC Reporting on Cataract Patient Visits to Hospital On December 9, OOSS – with ASCRS, AAO, and ASRS signing on — filed comments strenuously urging the Measures Application Partnership (MAP) – a joint venture convened by the National Quality Forum (NQF) to provide input to CMS on selecting performance measures for public reporting and performance-based…

Swift Victory for Ophthalmic ASCs

CMS AND MAP WITHDRAW MEASURE TO REQUIRE ASC REPORTING ON POST-CATARACT VISITS TO  HOSPITAL Yesterday, OOSS reported that the Measures Application Partnership would consider this week a quality measure that would have required reporting of “the combined rate of unplanned admissions, emergency department visits, and observation stays among Medicare FFS beneficiaries within 7 days after…

New Medicare conditions for coverage

Last week, you received from OOSS a Primer and Frequently Asked Questions regarding the Medicare ASC Conditions for Coverage (CfC) that became effective on May 18.