CMS-10530 Data Collection insruments

Ambulatory Surgical Center Quality Reporting Program (CMS-10530)

CMS-10530 ASCQR data submission tool 9-10-21

OMB: 0938-1270

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1270 can be found here:

2025-01-10 - Revision of a currently approved collection
2024-10-11 - Revision of a currently approved collection

Document [pdf]

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Figure 1. Opening screen of data entry tool for data submissions

Figure 2. Data entry screen for the Ambulatory Surgical Center Quality Reporting (ASCQR) Program

File Type	application/pdf
Author	Anita Bhatia
File Modified	2021-09-09
File Created	2021-09-09