decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 7 (July)
ICD-10 tip of the week: Make sure ICD-10 doesn’t derail your PQRS program
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Article Overview
This article discusses how the ICD-10 transition can affect quality reporting workflows tied to diagnosis-based measures. It is aimed at coding staff and practices preparing claims and EHR prompts for CMS quality reporting, with emphasis on checking diagnosis-to-measure mappings and updating reporting references during the transition period.
Why This Topic Matters
Incorrect diagnosis coding can disrupt quality measure reporting and create avoidable errors in claim-based reporting workflows. The article helps practices understand why ICD-10 updates matter for PQRS-related processes.
What You Will Learn
- How ICD-10 changes can affect diagnosis-driven quality reporting workflows
- Why practices should review diagnosis-code associations used for measure reporting
- How reporting references in claims and EHR reminders may need updating during the transition period
- What kinds of quality reporting processes are most sensitive to diagnosis code changes
Who Should Read This
- Medical coders
- Billing staff
- Quality reporting staff
- Practice managers
- Clinical administrators
Codes Discussed
Code Ranges Discussed
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