Nursing Home visit codes not present in measure calculations

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    • Type: Value Sets
    • Resolution: Done
    • Priority: Major
    • Component/s: Guidance, ValueSet
    • None
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      Mapping of CPT codes to SNOMED codes is appropriate. It is expected if the encounters are equivalent to the encounter types present in the measure that such mapping would be considered acceptable. It should be mentioned that ONC/CMS are currently working on a task force activity to bring in encounter types that may be appropriate for measures but are not currently included in the current eMeasure sets. Individuals watching or commenting on this thread will be invited to provide feedback on proposed solutions to this ticket.
      Show
      Mapping of CPT codes to SNOMED codes is appropriate. It is expected if the encounters are equivalent to the encounter types present in the measure that such mapping would be considered acceptable. It should be mentioned that ONC/CMS are currently working on a task force activity to bring in encounter types that may be appropriate for measures but are not currently included in the current eMeasure sets. Individuals watching or commenting on this thread will be invited to provide feedback on proposed solutions to this ticket.
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      Hi. I need help answering a question about CQM’s. We are ambulatory for MU, but our operation is nursing facilities only. Most of our patients are considered long-term.

      We bill only visit type codes associated with nursing facilities.

      None of the 9 adult recommended core CQM’s are looking for our visit type codes in the denominator calculations. For certification we can add all the visit type codes, but for production most of our denominators would be 0. Is anyone else running into this and if so, how have you solved it?

      These are the codes we use for visit types.

      99304, initial nsg facility visit
      99305, initial nsg facility visit
      99306 – initial nsg facility visit
      99307, – subsequent nsg facility visit
      99308, – subsequent nsg facility visit
      99309 – subsequent nsg facility visit
      99310– subsequent nsg facility visit
      99315 - nsg facility d/c
      99316 - nsg facility d/c
      99318 – annual assessment

      Any help would be appreciated.
      Show
      Hi. I need help answering a question about CQM’s. We are ambulatory for MU, but our operation is nursing facilities only. Most of our patients are considered long-term. We bill only visit type codes associated with nursing facilities. None of the 9 adult recommended core CQM’s are looking for our visit type codes in the denominator calculations. For certification we can add all the visit type codes, but for production most of our denominators would be 0. Is anyone else running into this and if so, how have you solved it? These are the codes we use for visit types. 99304, initial nsg facility visit 99305, initial nsg facility visit 99306 – initial nsg facility visit 99307, – subsequent nsg facility visit 99308, – subsequent nsg facility visit 99309 – subsequent nsg facility visit 99310– subsequent nsg facility visit 99315 - nsg facility d/c 99316 - nsg facility d/c 99318 – annual assessment Any help would be appreciated.

          Assignee:
          Cindy Cullen (Inactive)
          Reporter:
          Camille Holloway (Inactive)
          Balu Balasubramanyam (Inactive), Kevin Larsen (Inactive), Minet Javellana (Inactive)
          Votes:
          2 Vote for this issue
          Watchers:
          6 Start watching this issue

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