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For the specifications published in May 2016, my understanding is that those will only take affect for reporting year 2017.

In terms of benchmarking, if EPs stop screening female patients 40-50 years of age (per the new guidelines), this has the potential to negatively impact their quality data scores for reporting year 2015 and 2016 since they will be reporting mammogram screening for 33% of patients in the denominator who do not require screening.

What considerations are there for EPs and vendors to have the flexibility to implement this update earlier for the 2015 reporting year? Or at a minimum to start Jan 1 of the 2016 reporting year?

Thank you for your question. The eCQM will be updated during the 2016 annual update process. The updated measure should be posted by May 2016.

Where can we get the final, updated version of this measure? Our PQRS direct vendor is still using the old version and is saying that they can't find the new version with the appropriate specifications. The updated criteria would really help our numbers.
I would really appreciate your help with this,
Thank you.

CRP voting results have been updated for this issue. Participants agreed with the following recommendations:

1.Revise the age range from 40-69 to 50-74 years of age

2. Extend numerator timeframe from 24 months to 27 months to allow a 3-month grace period

3. Do NOT add the ““14 days apart” timing to the current exclusion “Exclude women who have had two unilateral mastectomies”

4. Add the following exclusion criteria:
-Exclude women who have had a bilateral mastectomy or two unilateral mastectomies:
--Right and left unilateral mastectomy
--History of bilateral mastectomy

I am also curious about the outcome. If the recommended change is made for Meaningful Use will this also roll over to the PQRS reporting guidelines?

Thank you.

Have the changes been made? What was the outcome of the July Change Review Process (CRP) meeting? Thank you.

After reviewing the public comment document attached above I found the documentation "AND: "Diagnostic study, performed: Mammogram" etc". But in the PQRS #112 measure, under Numerator Options I find - Performance Met: screening mammography results documented and reviewed.

I would like the confusion between screening vs diagnostic mammogram to be clarified. A diagnostic mammogram is not necessarily a screening test (as usually there is a finding on physical examination or in a screening mammogram - that then requires the patient to undergo a diagnostic mammogram), whereas a screening mammogram would be done more frequently and it would satisfy the measure.

I was under the impression that screening mammograms would be the only ones accepted - due to the CPT II 3014F code.
If diagnostic mammograms would also be added to the numerator, then that would be also acceptable, as we don't want people to be irradiated multiple times only to meet the measure.
Thank you.

agree with a grace period and alignment to match the age ranges and screening frequency of the USPSTF.

We have attached a Word document with updated logic and CRP feedback to address this issue. Please review and let us know if you have any questions.

Please share any relevant feedback to this issue as a comment to this ticket. We will be collecting feedback for the next month.

Thank you!