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Recent Updates to ICD-10 Will Impact Your Quality Reporting - But You Won’t Be Penalized!
Posted on: 1/4/2017

The Centers for Medicare and Medicaid Services (CMS) has determined that a "larger than usual" update to ICD-10 last fall will have an impact on 4th quarter reporting of 2016.  

Specifically, this code update will impact CMS’s ability to process data reported on certain quality measures pertaining to the Physician Quality Reporting System (PQRS).

Therefore, CMS will not apply the 2017 or 2018 PQRS payment adjustments to any eligible physician or group practice for failing to satisfactorily report for 2016 if that failure is solely the result of the ICD-10 code updates.

That’s good news!

For more details, visit CMS' ICD-10 webpage

If you have questions, please contact the ISMS advocacy team by calling 800-782-4767 ext. 1470, or by sending an email.

Why was the last update to ICD-10 so big that it caused interference for 4th quarter reporting? 

During the years leading up to the much-dreaded switch over from ICD-9 to ICD-10 in 2015, CMS placed a "freeze" on code updates to support a smooth cutover. Typically, code updates occur annually.

The yearly tradition resumed last Oct. 1, 2016 – the first update since 2013. As a result, a huge number of codes were added or removed from the ICD-10 code set.



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