Industry Note: ICD-10 Glitch Causes CMS to Slacken PQRS Requirements

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This industry note explains a CMS release about a reporting issue tied to ICD-10 updates and its effect on PQRS for CY 2016. It is relevant for healthcare providers, quality-reporting staff, and medical coders who track Medicare quality programs, ICD-10 updates, and CMS guidance affecting reporting compliance.

Why This Topic Matters

The article highlights a CMS response to a coding-update problem that had implications for quality reporting and potential payment adjustments. Readers involved in Medicare reporting or coding compliance need to understand the scope of the affected measures and the time period involved.

What You Will Learn

  • How a CMS notice related to ICD-10 updates and PQRS reporting
  • Which quality-reporting areas were identified as affected
  • Why the issue mattered for 2016 reporting and subsequent payment adjustments
  • Where CMS directed readers for additional information

Who Should Read This

  • Medical coders
  • Coding auditors
  • Quality reporting specialists
  • Compliance staff
  • Physician practice administrators
  • Billing and reimbursement staff

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