ASC Medicare Reimbursement: CMS Makes OAS CAHPS Mandatory for 2018

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is a practical overview of Medicare quality-reporting requirements for ambulatory surgery centers, with emphasis on the ASCQR program, reporting timelines, and the introduction of mandatory OAS CAHPS survey participation beginning in 2018. It is aimed at ASC administrators, coders, and billing or compliance staff who need to understand the general reporting process, vendor involvement, and where CMS quality data are submitted. The piece also points readers to CMS and QualityNet resources for managing reporting responsibilities and reimbursement impact.

Why This Topic Matters

The article matters because missing quality-reporting requirements can affect Medicare reimbursement for ASCs. It helps facilities understand the broad compliance changes and operational steps needed to stay current with CMS reporting expectations.

What You Will Learn

  • How ASC quality reporting is tied to Medicare reimbursement
  • The general split between claim-based measures and web-based measures
  • What the OAS CAHPS survey is and why it became mandatory
  • How survey vendor involvement fits into the reporting process
  • Where CMS and QualityNet quality-reporting resources are located

Who Should Read This

  • Ambulatory surgery center administrators
  • Medical coders
  • Billing and reimbursement staff
  • Compliance staff
  • ASC quality reporting personnel

Codes Discussed


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