Updates and Impact to 4th Quarter 2016 Eligible Professional Medicare Quality Programs: Additional Information

CMS has examined impact to quality measures and has determined that the ICD-10 code updates will impact CMS’s ability to process data reported on certain quality measures for the 4th quarter of calendar year (CY) 2016. Therefore, CMS will not apply the 2017 or 2018 PQRS downward payment adjustments, as applicable, to any individual eligible professional (EP) or group practice that fails to satisfactorily report for CY 2016 solely as a result of the impact of ICD-10 code updates on quality data reported for the 4th quarter of CY 2016. CMS has also released an FAQ on the potential impact of the ICD-10-CM revisions on the quality measures within the PQRS program.

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