Education Update

Thank you to all who attended Wednesday evening’s meeting. As promised, here is Kara Newbury’s slide presentation.  Click on the link below to view the powerpoint presentation.

NHASA Presentation Kara Newbury 2.12.2014

Please let me know if there are any issues uploading this file and I will email it to you directly.


Quality Net Information

Sam from Hillside ASC spoke with QualityNet help desk and they referred her to FMQAI regarding the Measure ID#: ASC-11 (cataract). 

To sum it up, you can select from one of the four questionnaires listed on page 27 of the Centers for Medicare & Medicaid Services, Ambulatory Surgical Center Quality Report Program version 3.0a. 

 Regardless of which questionnaire you choose, you will need to capture the data both pre and postoperatively on all patients that meet the description listed by CMS for this measure (pretty much every patient aged 18 or older having cataract surgery).  

We will need to collect the data from April 1st through the 31st of December 2014. 

Then we will have until August 1st to complete the web-based measure on QualityNet. 

We will be manually entering a denominator (total number of patients) and a numerator (total number of patients that had improved visual function).  So no importing of excel spreads or anything like that.  Just two numbers to enter.  They are still encouraging the surgeons office be the ones who collect the data as they have the strongest system for visual function assessment.  They also suggested the VF-8 form as it is the shortest with only 8 questions to be answered. 

The NHASA wishes to thank Sam for this information.  Please feel free to post any comments or additional information that you may wish to share with everyone.

NHASA Winter Meeting

Hello Members and Non-Members,

Invitations will be going out at the end of this week for our first meeting of 2014.  We have exciting speakers, who will be updating us on ASC State of Affairs both at the National Level and at the State Level.  We hope you will join us on Wednesday February 12th, 2014 from 5 to 8 p.m. at the Red River Theater in Concord.  Please feel free to email me if you have any questions or if you don’t receive your invite.  All are welcome!


Unified Dues Pilot Program

The New Hampshire Ambulatory Surgery Association is participating in a pilot program with the ASC Association (ASCA).  The intent of the program is to reduce the number of checks facilities have to write to State and National Associations, as well as reduce the time burden and paperwork done by the volunteers manning your State Association.

What this means to you?  You will receive one invoice, which will allow you to select participation in the national ASC Association, the NHASA State organization or both.  Then one check is sent regardless of choice to the ASC Association for processing.  Once your payment is made, you will receive a confirmation email. 

When will this start?  Renewal invoices will be sent to current members of the ASCA or NHASA by the end of this week, with a payment due date of January 1st.  ASC’s that are not currently members of either association will receive information packets with application, membership and payment information by November 1st.  Routine follow-up reminders will be sent out to both new and renewing members. 

Is my fee to the NHASA be changing?  The NHASA will not have a fee increase for the 2014 year. 

What if I have more questions?  You may feel free to direct any further questions to the NHASA either through our members only email, or through an NHASA blog post, simply by responding to this post.

The Board of Directors of the NHASA thank you for your continued support and participation in our association.  If you have any desire to serve on our Board in any capacity, please contact either Joyce Meisel or Bevery Primeau.

Current Affairs Update

Hello all,

Hope everyone is enjoying this fall weather.  Last week, representatives from the NHASA attended the ASCA Capitol City “Fly-In” to meet with our state Congressional and Senate representatives.  Their visit proved to be very successful.  Congresswoman Kuster signed on to co-sponsor the Quality and Access Act of 2013. 

There are currently 39 congressional co-sponsors of this proposed legislation which proposes among other things, changes to the calculation methodology used by CMS for ASC’s as compared to HOPD’s.  ASC reimbursement currently is calculated using the Consumer Price Index – Urban, and the HOPD rates are calculated using the Hospital Market Basket.  We would like our payment rates to be calculated utilizing the same Hospital Market basket and stop the payment gap from widening any further.  In addition to this, there are 300 procedure codes currently performed in HOPD’s, that are not permitted in ASC’s if just a fraction of those codes could be done in ASC’s, the savings to the Medicare system over the next 10 years could be in the billions of dollars.  Not to mention the fact that the board deciding what procedures are done in an ASC has 19 hospital representatives, and no seat for even one single ASC representative.  This proposed legislation would grant us  one seat on this board. 

Finally, it is not too late to register for our October educational meeting being held at the Red River Theater on Main St. in Concord.  We are hoping for our largest turn-out yet.  Please follow this link Invitation Fall 2013_1 for a copy of the invitation.  Also, you can feel free to email your RSVP to Beverly Primeau at  Looking forward to seeing you all there!


Save the Date! Wednesday October 9th, 2013

The NHASA is hosting its Fall educational meeting.  Please save the date and plan on joining us for a fun meeting: 

“Leading in Challenging Times”, Speaker: Lee Primeau, CEO of LeaderShift, Inc. 

Please follow the link below for more information about this event.  Invitations and speaker information will follow.


Northeast ASC Conference offered by the MAASC



SEPTEMBER 20, 2013

Waltham, MA

For more information visit:

A conference focusing on current clinical and business topics for today’s Ambulatory Care Professional.

The Massachusetts Association of Ambulatory Surgery Centers (MAASC) is proud to invite you to attend the inaugural 2013 Northeast ASC Conference.  The agenda is packed with speakers covering all of the hot clinical and business topics affecting ASC’s and medical facilities today. 

The 2013 Northeast ASC Conference is geared to the clinical and business professionals working in ambulatory surgery centers.  This all day conference on September 20, 2013 will be held at the Conference Center at Waltham Woods, Waltham, MA.

Clinical Topics:                                                                        Business Office Topics:

Infection Control Updates                                                       ICD-10 Overview & Implementation

AAAHC & Medicare Survey survival                                     Coding Updates & Pitfalls:  GI, Orthopedics, Pain Management, Podiatry

Pharmacy Update                                                                  Maximizing the Success of your Business Office

Anesthesia Update & Preventing PONV                                Understanding your Personal Strengths & Weaknesses:  The Winning

Sterile Processing Department compliance                                       Edge Concept

Key to Efficiency in the ASC

This activity has been submitted to the Association of periOperative Registered Nurses, Inc. for approval to award contact hours. The Association of periOperative Registered nurses, Inc. is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Activities that are approved by AORN are recognized as continuing education for registered nurses. This recognition does not imply that AORN or the ANCC Commission on Accreditation approves or endorses any product included in the presentation.

For more information and registration please visit:


Seats are limited, so register early.  Any questions please contact Marjorie MacLeod,

NHASA Educational Summer Meeting


The NHASA is hosting a Meeting for all Members and Non-Members on Wednesday June 12th, 2013.

Location: O’s Steak and Seafood, 11 South Main St. Concord, NH

Time:  Networking and Exhibits open 5 p.m.  Meeting from 6 p.m to 8 p.m.

Governor Maggie Hassan has been invited to attend!

Topics: Health Insurance Exchanges and what they will mean to us in Ambulatory Surgery Centers and Medicare Expansion Plans.

Please R.S.V.P to Beverly Primeau at


If you have received an invitation in the mail, you may respond through by completing the registration form and returning it to the NHASA.

We look forward to seeing you there!



Register for QualityNet Now


Register for QualityNet Now or Risk Medicare Payment Reductions Between July 1 and August 15, 2013, ASCs that provide services to Medicare beneficiaries must report 2012 volume data for certain procedures and verify their use of a safe surgery checklist during 2012 to the Centers for Medicare & Medicaid Services (CMS). ASCs that fail to report this information will face payment reductions from Medicare in 2015.

ASCs must report this information via Medicare’s QualityNet web site. Before your ASC can use the QualityNet web site to file the reports required between July 1 and August 15, your ASC must register a QualityNet security administrator. Responsibilities that your ASC’s QualityNet Security Administrator will take on include: • creating, approving, editing and terminating QualityNet user accounts within your ASC; • monitoring QualityNet usage at your ASC to ensure that security and confidentiality is maintained; and • serving as a point of contact at your organization for information regarding QualityNet.

In order to register a Security Administrator, ASCs must first complete and return via mail the QualityNet Security Administrator Registration Packet. The registration process could take six weeks to complete, so now is the time to act if your ASC has not already registered a security administrator.

CMS is recommending that each ASC designate two people as QualityNet security administrators—one to serve as the primary security administrator and the other to act as an alternate.

The QualityNet security administration registration form must be signed and dated before a notary public, and the notary must complete a special section on the form, including both a signature and seal. Photocopies or faxes of the forms will not be accepted at CMS. Instead, ASCs will need to mail these original forms to the QualityNet Program Support Contractor.

Once your completed registration materials have been received, your registration information will be documented and forwarded to the QualityNet Help Desk for processing. You will be notified by email when the registration process is complete. At that time, the My QualityNet web site (the secure portion of the QualityNet site) will be accessible to your ASC. The email you receive will also contain your User ID and initial password. Florida Medical Quality Assurance, Inc. (FMQAI), the national support contractor for the

Hospital Outpatient and Ambulatory Surgical Center Quality Reporting Programs, will be hosting a free webinar on June 5, 2013, at 10:00am and 2:00pm ET titled “Quality Reporting Cram Session: Web-Based Measures, Initial Data Review, and the Reconsideration Process.” Click here for more information on Medicare’s entire ASC quality reporting program.


Free Webinar on New ASC Quality Reporting Requirements

 As reported by the ASCA Government Affairs team.
The Centers for Medicare & Medicaid Services (CMS) will present a free webinar titled “Navigating QualityNet: Where to Find What You Need When You Need It” on Wednesday, February 27, 2013. The program will provide information about the web site that ASCs will be using to submit surgical volume data and information about their use of safe surgical checklists this summer.

To accommodate all who want to attend, the hour-long webinar will be presented twice on February 27, once at 10am ET and again at 2pm ET. For more information and to register click here.

As a reminder, if you have feedback about or problems with the new quality reporting program, please let ASCA know so that we may help.

For more information, contact Jonathan Beal at