Frequently Asked Questions

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FAQ

We were informed of the listserv message related to ICD-10-CM updates. If my individual eligible professional (EP) or practice did not satisfactorily report for 2016 PQRS, will they be subject to the 2018 PQRS payment adjustment?

If it is found that the individual EP or group practice failed to satisfactorily report for 2016 PQRS solely because of ICD-10-CM coding updates to the quality measures, then they will not be subject to the 2018 payment adjustment. If it is found that the individual EP or group practice failed to satisfactorily report due to other reasons, they would be subject to the 2018 payment adjustment.
(FAQ18865)

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