American Speech-Language-Hearing Association

National Outcomes Measurement System (NOMS)


Seven of ASHA's Functional Communication Measures have been Adopted by CMS for Claims-based Outcome Reporting using G-codes

Starting January 1st, SLPs who treat Medicare Part B beneficiaries must begin reporting patient outcomes on claims forms. The measures, based on the NOMS FCMs, are described as a G-code with a seven-point severity modifier that corresponds to the FCM severity scale. View frequently asked questions related to NOMS and claims-based outcomes reporting.

ASHA's NOMS is also an Approved Registry for the CMS Physician Quality Reporting System (PQRS)

PQRS is separate from the Medicare claims-based reporting initiative and is only for SLPs who directly bill Medicare Part B for the provision of services to stroke patients. As an approved registry, ASHA will submit NOMS data to CMS on behalf of eligible SLPs. View the participation criteria and frequently asked questions related to PQRS.

Release of the Adult NOMS Functional Communication Measures (FCM)

In 2008, eight of the 15 Functional Communication Measures (FCM) from the Adult NOMS were submitted to the National Quality Forum (NQF) for review. All eight were endorsed and subsequently became part of the public domain. While the FCMs from the Adult NOMS are part of the public domain and can be used for claims-based reporting and/or PQRS, it is important to note that the FCMs are only one component of NOMS, ASHA’s National Outcomes Measurement System. View the eight Adult NOMS FCMs [PDF] and the detailed NQF specifications [PDF].


What Is NOMS?

ASHA’s National Outcomes Measurement System (NOMS) is a voluntary data collection system developed to illustrate the value of speech-language pathology services provided to adults and children with communication and swallowing disorders. SLPs working in healthcare organizations or schools can register their facility or system to participate in the NOMS Adult Healthcare and/or NOMS Pre-Kindergarten Component. In exchange for participating in NOMS data collection, SLPs will have access to their data benchmarked against the national data and system data if applicable.

The key to NOMS is the use of ASHA's Functional Communication Measures (FCMs). FCMs are a series of disorder-specific, seven-point rating scales designed to describe the change in an individual's functional communication and/or swallowing ability over time. Based on an individual's treatment plan/IEP, FCMs are chosen and scored by a certified speech-language pathologist on admission and again at discharge to depict the amount of change in communication and/or swallowing abilities after speech and language intervention and submitted to ASHA’s national registry. In addition to scoring the FCMs, SLPs also provide information on patient/client and intervention characteristics (e.g., SLP diagnosis, frequency/intensity of treatment).

Through the use of NOMS, we are now beginning to demonstrate the value of speech-language pathology services and provide our members the needed tools to address the challenging questions posed by policy makers, third party payers, administrators and consumers alike.

To find out more about the benefits of NOMS, frequently asked questions, and how to register your organization for data collection, see the Information for Prospective Participants in the resource box at the top of the page.

NOMS Fact Sheets

The fact sheets provide a snapshot of the data collected in each NOMS component (Adults in Health Care and Pre-Kindergarten).

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