- CMS ASC Quality Reporting Program (ASCQR)

ASC Quality Reporting - streamlined.

One missed measure in the CMS Quality Reporting Program cuts your ASC's Medicare payment rate for a full year on every procedure you bill. We run the reporting so it never happens.

-2%

Reduction to your annual Medicare ASC payment update if a required measure is missed or left blank but successfully 2026 reporting means a +2.6% payment update



May 15th

Annual deadline for the prior year's web-based measure data, missed deadlines lock in the following year's penalty

THE COMPLIANCE YEAR, MAPPED

NOV

CMS final rule published measures & deadlines updated

MAY 15

Annual web-based measure submission deadline

JAN

New payment year begins under the prior year's compliance status

SEPTEMBER

Proposed rule comment period, next year's measures take shape

Q1 - Q2

Quarterly OAS CAHPS survey windows open on rolling basis

MARCH 17

Last day to file a reconsideration request if penalized

THE QUARTERLY ASCQR PROGRAM

What we do, every quarter, without you asking

Q1 Foundation & Registration

Confirm your HQR/HARP account and Security Official designation are current, verify your OAS CAHPS vendor contract, and build your full-year deadline calendar.

Q2 Mid-Year Data Integrity Check

Audit your Q1 measure data for completeness, confirm OAS CAHPS submission was filed on time, and spot-check the documentation behind every data point you've report

Q3 Pre-deadline Stress Test

A full dry-run of your annual submission, a review of your claims-based measures, and a formal gap letter flagging anything at risk — while there's still time to fix it.

Q4 Submission Support & Close

Hands-on help finalizing your HQR submission, a final completeness sign-off, and a year-end Compliance Certification memo you can hand to your board or accreditation surveyor.

Every quarter, you get: a traffic-light compliance report · an updated deadline calendar · a remediation action list with owners and dates · one live walkthrough with your leadership team.

WHAT'S ACTUALLY AT STAKE

Three ways ASCs lose points without noticing

None of these require bad clinical care. They're administrative gaps, which is exactly why a dedicated quarterly check catches them before CMS does.

RULE 01

Blank isn't neutral

A measure left blank is treated the same as never reporting at all — automatic non-compliance, with one voluntary exception. "No data" still has to be actively submitted as zero.

RULE 02

Accounts go stale

HQR accounts need a login at least every 60 days. HARP credentials deactivate after two years of inactivity and can't be recovered. Most centers find out under deadline pressure.

RULE 03

There's no second appeal

Reconsideration requests must reach CMS by March 17 of the payment year. Once CMS upholds the penalty, that decision is final.

More ASC Compliance Services

CMS Conditions for Coverage (CfC) readiness — the underlying Medicare certification requirements ASCs must maintain regardless of ASCQR

Accreditation survey prep (AAAHC, AAAASF, or Joint Commission, depending on the ASC's accrediting body) — much of the documentation overlaps with ASCQR data integrity work

Infection prevention & control program review — a recurring survey citation risk area and a natural companion to the patient-safety measures already in ASCQR (falls, wrong-site events)

Life Safety Code / Emergency Preparedness Rule compliance — annual/biennial requirements that are easy to let lapse

HIPAA Security Risk Assessment — required annually, frequently neglected in smaller ASCs, and pairs well with a Q1 "foundations" engagement

OSHA compliance check (bloodborne pathogens, hazard communication) — light-touch add-on

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