CMS Delays Implementation of ASC-11

April 2, 2014

The Centers for Medicare & Medicaid Services (CMS) announced that it will delay the implementation of the new quality reporting measure ASC-11, Cataracts: Improvement in Patient’s Visual Function within 90 Days Following Cataract Surgery, until January 1, 2015. CMS intends to issue proposals regarding data collection for this measure in the upcoming 2015 proposed ASC payment rule with comment period.

ASCA staff has been in constant communication with CMS quality reporting staff to voice concerns about the new measures since the rule was proposed. ASCA has also worked closely with a coalition of representatives from the American Academy of Ophthalmology, the American Society of Cataract and Refractive Surgery and the Outpatient Ophthalmic Surgery Society to influence CMS and raise awareness in Congress. This coalition, along with hospital associations, sent a letter to CMS Administrator Marilyn Tavenner last week explaining that ASC-11 is inappropriate as a facility measure.

This delay does not affect the data collection period for ASC-9, Endoscopy/Polyp Surveillance: Appropriate Follow-up Interval for Normal Colonoscopy in Average Risk Patients, and ASC-10, Endoscopy/Polyp Surveillance: Colonoscopy Interval for Patients with a History of Adenomatous Polyps – Avoidance of Inappropriate Use. Data collection for those measures began yesterday, April 1, as previously communicated. ASCA will continue to work with CMS regarding the problems associated with these measures.

For more information, contact Kara Newbury at