Quality Payment Program: 2020 Performance Period Merit-based Incentive Payment System (MIPS) Quality Measures Impacted by the Annual ICD-10 Coding Update

In the Calendar Year (CY) 2018 Quality Payment Program Final Rule (82 FR 53714 through 53716), Centers for Medicare & Medicaid (CMS) finalized the policy allowing for the review of quality measures for significant impacts due to ICD-10 coding changes during the performance period. Performance for these quality measures will be assessed based only on the first 9 months of the 12-month performance period.

For the 2020 MIPS performance period, CMS has not identified any quality measures requiring performance data to be suppressed for the last quarter of the performance period due to the annual ICD-10 code update.

Additional information regarding this policy can be found in the 2020 MIPS Quality Measures Impacted by ICD-10 Updates located on the QPP Resource Library.

If you have questions regarding the ICD-10 impact analysis, please contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292 (Monday-Friday 8 a.m. – 8 p.m. ET).

Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.

About Author

Healthcentric Advisors
As the New England Quality Payment Program Support Center, Healthcentric Advisors assists New England-based physician and other eligible clinical practices to prepare for and participate in the new Quality Payment Program (QPP), established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).