Question 1: The following has been mentioned in the header of the measure:
Numerator 1:
Patients whose most recent fasting LDL-C test result is in good control, defined as <100 mg/dL
Numerator 2:
Patients whose most recent fasting LDL-C test result is in good control, defined as <130 mg/dL
Numerator 3:
Patients whose most recent fasting LDL-C test result is in good control, defined as <160 mg/dL

However, the Numerator 1, Numerator 2 and Numerator 3 in the population criteria requires LDL-C test along with Triglycerides to be documented to satisfactory reporting of the numerator:

Can you please confirm the criteria required for satisfactory reporting of the numerator?
• Numerator 1: LDL lab test completed with result < 100 mg/dL during measurement period AND Triglycerides test completed with result <= 400 mg/dL during measurement period
• Numerator 2: LDL lab test completed with result < 130 mg/dL during measurement period AND Triglycerides test completed with result <= 400 mg/dL during measurement period
• Numerator 3: LDL lab test completed with result < 160 mg/dL within 4 years prior to the measurement period AND Triglycerides test completed with result <= 400 mg/dL within 4 years prior to the measurement period
• Please specify If it is other than specified above 3 criterias

Question 2:

The following has been mentioned in the Denominator 2 of the measure:
■AND: Count >= 3 of:
■OR: FIRST:"Patient Characteristic: Current Cigarette Smoker" starts before or during "Measurement Period"
■OR: FIRST:"Diagnosis, Family History: Family History CHD" starts before or during "Measurement Period"
■OR: FIRST:"Laboratory Test, Result: High Density Lipoprotein (HDL) (result < 40 mg/dL)" during "Measurement Period"
■OR: FIRST:
■OR: "Diagnosis, Active: Diagnosis of hypertension grouped" starts before or during "Measurement Period"
■OR: "Medication, Active: Anti-Hypertensive Pharmacologic Therapy" during "Measurement Period"
■AND: Count = 2 of:
■OR: FIRST:"Patient Characteristic: Current Cigarette Smoker" starts before or during "Measurement Period"
■OR: FIRST:"Diagnosis, Family History: Family History CHD" starts before or during "Measurement Period"
■OR: FIRST:"Laboratory Test, Result: High Density Lipoprotein (HDL) (result < 40 mg/dL)" during "Measurement Period"
■OR: FIRST:
■OR: "Diagnosis, Active: Diagnosis of hypertension grouped" starts before or during "Measurement Period"
■OR: "Medication, Active: Anti-Hypertensive Pharmacologic Therapy" during "Measurement Period"
■AND:
■OR NOT: "Laboratory Test, Performed: High Density Lipoprotein (HDL)" during "Measurement Period"
■OR:
■AND: MOST RECENT:"Occurrence A of Laboratory Test, Result: High Density Lipoprotein (HDL)" during "Measurement Period"
■AND: MOST RECENT:"Occurrence A of Laboratory Test, Result: High Density Lipoprotein (HDL) (result < 60 mg/dL)"

One of the conditions to meet the denominator 2 of the measure requires count three or more of the risk factors AND count 2 of the same risk factors. Can you please confirm if it should be an OR operator instead of AND?