Reduce preventable surgical risk.
Support added surgeon revenue.
QPM helps ASCs identify tobacco-using surgical patients at scheduling, route them to treatment, document counseling and prescription recommendations, support surgeon sign-off, and capture information relevant to revenue and MIPS Measure #226 documentation.
Reduce surgical complications
Preoperative tobacco cessation cuts wound complications by 33%, pulmonary complications by 29–37%, and all post-op complications by up to 41%. Every tobacco-using patient is a preventable risk.
Generate net-new revenue
Surgeons bill payers under their own NPI for tobacco treatment services performed under their general supervision by qualified tobacco treatment specialists.
Support MIPS Measure #226
QPM automates tobacco screening documentation and cessation intervention records for every patient — supporting MIPS quality reporting documentation for surgeons without adding paperwork.
Your tobacco-using patients are carrying preventable surgical risk into your OR
The evidence linking tobacco to surgical complications is among the most consistent in all of medicine — and the preoperative window is the most powerful moment to intervene.
What tobacco does to every stage of the surgical encounter
Tobacco use affects the patient before, during, and after surgery — and in an ASC setting, each of these translates directly to operational risk: unplanned hospital transfers, returns to the OR, and surgical site infections that damage outcomes data and payer relationships.
- ↑Higher rates of laryngospasm and difficult airway for anesthesia
- ↑Higher rates of implant failure and bone nonunion (orthopedics, spine)
- ↑Higher anastomotic leak risk in GI and colorectal procedures
QPM starts working the moment a patient is scheduled
Unlike hospital or primary care deployments triggered at discharge, QPM for ASCs is designed to run in the preoperative window — maximizing cessation time before the OR date.
"When trying to stop smoking in the preoperative period, surgical patients experience much higher than average cessation rates compared with the general population, indicating that the time around surgery is ripe for motivating and sustaining behavior change."
Your surgeons encounter patients who are using tobacco. QPM turns referrals of these patients into revenue.
The same CMS general supervision billing mechanism available to physician groups applies to surgeons at ASCs — and the revenue flows to the referring surgeon, not the facility.
The CMS regulatory foundation
Tobacco Use Disorder is classified as a substance use disorder under ICD-10-CM. The CY 2023 Physician Fee Schedule Final Rule changed the supervision requirement for behavioral health services from direct to general supervision — meaning cessation counseling can be performed by a contracted TTS and billed under the supervising physician's NPI without the physician being physically present.
CPT 99406/99407 cannot be billed on the same day as a surgical procedure — they are denied as incidental to the primary procedure. Tobacco treatment specialist sessions occur in the weeks before and after surgery, not on the procedure date. The pre-op consultation or a scheduling encounter is the appropriate trigger for the referral.
Model your ASC's Revenue Potential
Select your state to auto-populate adult current cigarette smoking prevalence, then adjust the sliders. The model updates in real time for surgeons referring tobacco-using surgical patients.
Your revenue projection
Illustrative model. Actual results depend on payer mix, local CMS rates, surgical volume, and patient engagement. Net surgeon revenues are shared 50/50 with the CTTS. Book a call for an ASC-specific analysis. Source: CDC BRFSS 2024 crude prevalence of current cigarette smoking among adults; Tennessee uses 2023 because it was not included in the 2024 public dataset.
Surgical workflow: clinical risk reduction, surgeon revenue, and MIPS documentation in one path
This is the single ASC workflow: the surgeon identifies the tobacco-using surgical patient and signs the standing order; QPM handles opt-out enrollment, preoperative outreach, specialist counseling, session documentation, EHR return, and MIPS Measure #226 documentation support.
Identify & refer at scheduling
Surgeon identifies a tobacco-using patient at the pre-surgical consultation or scheduling encounter and signs a standing order within the EHR.
Automatic enrollment
QPM receives patient data from the EHR and enrolls the patient under the presumed consent (opt-out) model. Less than 1% of patients decline. Outreach begins within 24 hours.
Preoperative outreach & TTS scheduling
Personalized texts, calls, and emails engage the patient in the weeks before surgery. When ready, QPM connects them to a contracted Tobacco Treatment Specialist for evidence-based cessation counseling.
Session documentation for billing purposes
QPM records counseling sessions and transmits summaries of same to the EHR along with any prescription recommendations and appropriate billing codes.
Surgeon signs-off
The surgeon reviews the summary and prescription recommendation and signs-off within their normal EHR workflow - a 30-second task.
Outcomes loop & MIPS reporting
Cessation status, medication use, and session outcomes flow back to the patient's chart in the EHR automatically. MIPS Measure #226 documentation is captured as a by-product — with minimal additional reporting work.
QPM supports MIPS Measure #226 documentation as a by-product of doing the work
MIPS-eligible surgeons operating at ASCs are evaluated on tobacco screening and cessation intervention. QPM looks after the intervention and the documentation.
MIPS Measure #226
Preventive Care & Screening — Tobacco Use Screening & Cessation Intervention
How QPM supports the measure
- Tobacco screening is documented at the point of scheduling — satisfying Submission Criteria 1
- Cessation intervention records are generated for every enrolled patient — satisfying Submission Criteria 2
- All data returned to the EHR — supports MIPS claims submission with no manual data entry
- Monthly reporting dashboard provides the quality improvement data accreditation bodies (AAAHC, Joint Commission) expect
- Applicable across all MIPS-eligible specialties: orthopedics, general surgery, plastics, spine, podiatry, and more
What ASC leaders ask us
The most common questions we hear from ASC Medical Directors and Administrators — answered directly.
What the evidence and our partners say
The Quit Plan Manager platform has been supporting our 'No Smoker Left Behind' program for several years. Tobacco users are automatically enrolled and outcomes flow back to their charts. This saves a tremendous amount of work for staff and helps us reduce health disparities for our underserved patients.
When trying to stop smoking in the preoperative period, surgical patients experience much higher than average cessation rates compared with the general population, indicating that the time around surgery is ripe for motivating and sustaining behavior change.
Model surgeon revenue and MIPS documentation for your ASC
We'll model your specific ASC — procedure mix, surgeon count, tobacco prevalence — and show you the projected revenue and complication reduction impact. No commitment required.