# ASCQR (ASC Quality Reporting Program) > ASCQR is the CMS quality reporting program for surgery centers. Centers that do not report take a 2.0 point cut in their Medicare payment update. Source: https://incidentkit.ai/glossary/ascqr ยท Updated Oct 5, 2026 Also known as: ASCQR, ASC Quality Reporting Program, ASC QR ## What it requires 42 CFR 416.300 sets the penalty: a 2.0 percentage point cut in a center's yearly payment update for not reporting as CMS requires. There are three kinds of measures: - Claims-based: at least 50 percent of eligible Medicare claims must carry quality data codes (42 CFR 416.310(a)). - Web-based: submit online from January 1 to May 15 of the year before the payment year (416.310(c)). - Patient survey, such as OAS CAHPS: reported on a quarterly schedule CMS posts each year. Web data covers services from two calendar years before the payment year. You need a CMS system account and a security official. ## The event measures CMS's schedule for the CY 2026 reporting period lists these web-based event measures: - ASC-1: patient burn - ASC-2: patient fall - ASC-3: wrong site, side, patient, procedure or implant - ASC-4: hospital transfer or admission for any cause The submission period is January 1 to May 17, 2027. Check QualityNet each year for exact dates. Example: a center that logs each burn and fall as an incident, with date and procedure, can answer ASC-1 and ASC-2 at year end without rebuilding events from memory. Mix-up: ASCQR is a payment-reporting program. It is not accreditation, and it is not the QAPI condition in 42 CFR 416.43, though event data feeds both. The penalty is a lower payment update, not a fine. ## Frequently asked questions ### What is the penalty for not reporting under ASCQR? A 2.0 percentage point cut in the center's yearly payment update (42 CFR 416.300), for the payment year tied to the data period. ### When is the web-based data due? 42 CFR 416.310 sets January 1 to May 15 of the year before the payment year. CMS's CY 2026 schedule lists January 1 to May 17, 2027. Confirm dates on QualityNet. ### Which events does the ASCQR Program track? For CY 2026: patient burn (ASC-1), patient fall (ASC-2), wrong site, side, patient, procedure or implant (ASC-3) and hospital transfer or admission (ASC-4), plus other measures. ## Sources - [42 CFR 416.300: ASCQR Program basis and scope](https://www.ecfr.gov/current/title-42/section-416.300) - [42 CFR 416.310: ASCQR data collection and submission requirements](https://www.ecfr.gov/current/title-42/section-416.310) - [CMS QualityNet: Ambulatory Surgical Center Quality Reporting Program](https://qualitynet.cms.gov/asc) ## Related terms - [Never event](https://incidentkit.ai/glossary/never-event) - [QAPI](https://incidentkit.ai/glossary/qapi) - [Conditions for coverage](https://incidentkit.ai/glossary/conditions-for-coverage) - [Adverse event](https://incidentkit.ai/glossary/adverse-event) - [AAAHC](https://incidentkit.ai/glossary/aaahc) ## Related - [ASCQR Program: measures, deadlines, 2.0-point penalty](https://incidentkit.ai/compliance/reporting-deadlines/asc-quality-reporting) - [ASC Quality Reporting payment update impact calculator](https://incidentkit.ai/tools/ascqr-penalty-calculator) - [ASC QAPI requirements: 42 CFR 416.43 explained](https://incidentkit.ai/compliance/cms-qapi/ambulatory-surgery-centers) - [Incident reporting software for surgery centers](https://incidentkit.ai/solutions/ambulatory-surgery-centers) - [QAPI program guide for ASCs, nursing homes and hospitals](https://incidentkit.ai/guides/qapi-program-guide)