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EC eCQMs - Eligible Clinicians
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Resolution: Answered
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Minor
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None
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Elissa Chandler
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267-725-5354
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NextGen Healthcare
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This issue has been addressed in the 2015 annual update. Please see CMS64v5 for the updated version.
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CMS64v4/NQFna
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High, impacts measures development for annual update.
QUESTION CMS64v4: Could you confirm the required result criteria for satisfactory reporting of Denominator 2, regarding “Laboratory Test, Result: High Density Lipoprotein (HDL)"?
The following has been stated in the header ‘Population Criteria 2’ underneath ‘Denominator 2’:
• OR:
o 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)" 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"
o 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: "Occurrence A of Laboratory Test, Result: High Density Lipoprotein (HDL) (result < 60 mg/dL)"
In the bullet point below under 'Population Criteria 2': there is no result criteria, where in the last previous measure version, the criteria was (result < 40 mg/dL).
Bullet Point in Question: OR: FIRST: “Laboratory Test, Result: High Density Lipoprotein (HDL)" during "Measurement Period"
In addition, the other criteria for Laboratory HDL test result under the same header is looking for (result < 40 mg/dL).
Therefore, could you please confirm the required result criteria for satisfactory reporting of Denominator 2, regarding “Laboratory Test, Result: High Density Lipoprotein (HDL)"?
Thank you.