Due to the high volume of new ICD-10 procedure and diagnosis codes released on October 1, 2016, the CMS was unable to update all of the PQRS measures. As a result, CMS will not penalize eligible providers or group practices that fail “to satisfactorily report for CY [calendar year] 2016 solely as a result of the impact of ICD-10 code updates on quality data reported for the 4th quarter of CY 2016.”
We may look back on the 25-year span following the change of the millennium as one of the most densely populated periods of healthcare regulation ever seen in the history of the United States. Every year, individual clinicians, private practices, and health systems are bombarded with new coding, compliance, quality, and reimbursement models, making staying ahead of the curve in terms of overall strategy nearly impossible.
The Centers for Medicare and Medicaid Services (CMS), in a clarifying document released Thursday, reminded providers that flexibilities surrounding unspecified codes will indeed end on October 1, 2016.
If the 20-year long transition to ICD-10 is any indication of the course of future updates to our basic healthcare data infrastructure, it is important to understand the tactics and motivation behind the policy debate and the campaign to stop ICD-10 implementation—and learn from the hard-won lessons.
More than 5,500 new procedure and diagnosis codes will go into effect beginning in October 2016. What does this mean for HIM teams still feeling the effects of implementing the original 70,000-plus ICD-10 codes?