American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Fees and Invoices

Fee Structure

The American College of Surgeons Committee on Trauma (ACS COT) is excited to announce the integration of our programs for trauma center Verification, Review, & Consultation (VRC), performance improvement and patient safety (PIPS), and risk-adjusted benchmarking (Trauma Quality Improvement Program [TQIP]) to create the new ACS Trauma Quality Program. Through this new effort, we will be able to offer trauma centers a comprehensive and unified approach to quality improvement. To support the transformation of our quality programs, we have established one annual fee that covers full participation in the ACS Trauma Quality Program.

In anticipation of the new Trauma Quality Program fee, we will align a hospital’s current billing cycle with one beginning July 1. This new billing cycle will apply to trauma centers with annual renewals on or after January 1, 2017, at the time of your next regular renewal. The annual Trauma Quality Program fee will replace the old three-year payment structure and covers participation in both the VRC program and TQIP.

As of January 1, 2017, all centers must be enrolled in TQIP at the time of their review.

The payment structure and fees below are applicable to new centers seeking verification for the first time and those with an expiration/anniversary date within the dates noted.

Payment Structure

Visit Type

Beginning 1/1/2017

Beginning 7/1/2017

Beginning 7/1/2018

Beginning 7/1/2019

Annual Fee

(Verification/Reverification Visit)

Adult Level I and II Quality Program $17,000 $17,000 $19,000
Pediatric Level I Quality Program $17,000 $17,000 $19,000
Adult Level III Quality Program $12,000 $12,210 $12,426 $13,649
Adult Level I or II with Pediatric Level II Quality Program* $18,500 $18,500 $20,500
Adult Level I or II with Pediatric Level II Quality Program** $30,500 $30,500 $33,500
Adult Level I or II with Pediatric Level I Quality Program*** $34,000 $34,000 $38,000

One-Time Fee

Verification Consultation $18,000 $19,000 $19,000
Consultation for Level II Pediatric w/Level I or II Adult $21,500 $21,500 $23,500
Focused – Onsite $13,500 $13,500 $14,000
Focused – Remote $1,500 $1,500 $1,500
Center Relocation $3,000 $3,500 $4,000

*Not enrolled in Pediatric TQIP

**Enrolled in Pediatric TQIP

***Hospitals that participate in both the full Adult Quality Program and the full Pediatric Quality Program will be billed the respective Quality Program fees as two different line items

  • Additional costs to the trauma center include hotel accommodations for each of the reviewers. The facility must also organize a prereview working dinner meeting on the first evening of the site visit (this is not applicable to Focused Reviews). Refer to the Site Visit Review Agenda.
  • An international site visit will incur additional fees. Please contact the VRC Program office for more information.
  • If additional reviewers are needed on the team aside from the standard teams noted below, there is an additional cost per reviewer of $3,000 (for example, trauma program manager, emergency physician, orthopaedic surgeon, or neurosurgeon).

Invoicing

To align payment cycles for VRC and TQIP, we are establishing a new payment schedule. Invoicing for the Trauma Quality Program fee (encompassing fees for both TQIP and VRC) will begin after a hospital has received a prorated TQIP and/or VRC invoice in order to align their billing cycles with a July 1 renewal date. If both your TQIP and VRC anniversaries are in July 2017, your 2017 invoice will contain the new Trauma Quality Program fee.

Hospitals that have already paid in full for their three-year Verification cycle will not be moved to the annual invoicing structure until their next Reverification visit. Hospitals in the middle of their Verification cycle will be invoiced a prorated amount for TQIP only to align their TQIP billing cycle with July 1. They will continue to be billed for TQIP only on an annual basis until the year of their Reverification visit. For example, if your Reverification visit is in May 2018, in 2017 you will be invoiced a prorated TQIP amount to align your TQIP billing cycle with the upcoming July. In early 2018, you would receive an invoice for a prorated VRC amount covering May through June 2018. For July 2018, your invoice will contain the full Trauma Quality Program fee.

Site Visit Teams

The standard team for a Verification or Reverification visit consists of two trauma surgeons except when mandated by state regulations to include an EM and RN reviewer.

The standard team for an Adult or Pediatric Consultation visit consists of two trauma surgeons and one nurse reviewer.

The standard team for a Combined Consultation visit consists of two trauma surgeons, one pediatric surgeon, and a nurse reviewer.

The standard team for a Focused Onsite visit consists of two trauma surgeons or one trauma surgeon and a nurse reviewer.

If a trauma center moves to another physical location, one trauma surgeon reviewer will do a walkthrough.

Additional reviewers may be requested on consultation, verification and reverification visits. There is an additional cost per reviewer of $3,000 (for example, trauma program manager, emergency physician, orthopaedic surgeon, or neurosurgeon).