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  1. eCQM Issue Tracker
  2. CQM-1699

IPP/Denominator and Numerator Criteria Clarification Needed

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Done
    • Icon: Minor Minor
    • Measure
    • None
    • Elissa Chandler
    • 267-725-5354
    • NextGen Healthcare
    • Hide
      The current eCQM expression standards do not permit attribution, therefore this measure will not be updated during the Annual Update.

      Questions regarding reporting or other policy issues should be directed to the CMS Help Desk, please find contact information below.

      QualityNet Help Desk – Available Monday – Friday; 7:00 a.m.–7:00 p.m. Central Time (CT)
      Phone: 1-866-288-8912
      TTY: 1-877-715-6222
      Email: Qnetsupport@hcqis.org
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      The current eCQM expression standards do not permit attribution, therefore this measure will not be updated during the Annual Update. Questions regarding reporting or other policy issues should be directed to the CMS Help Desk, please find contact information below. QualityNet Help Desk – Available Monday – Friday; 7:00 a.m.–7:00 p.m. Central Time (CT) Phone: 1-866-288-8912 TTY: 1-877-715-6222 Email: Qnetsupport@hcqis.org
    • CMS66v2 and CMS56v2
    • High. impacts client quality reporting

      QUESTION CMS66v2 and CMS56v2:

      Background:
      These measures evaluate whether patients who underwent hip or knee surgery received a functional assessment.
      Neither measure restricts either initial population / denominator or the numerator to the provider who performed the surgery.
      We need clarification on the intent of the measure and whether the provider should be restricted to the one who performed the surgery.

      Questions:

      1. INITIAL POPULATION/ DENOMINATOR: Should provider who did not perform surgery but saw patient during qualifying time frame with valid CPT/SNOMED visit codes, in turn result in patients meeting IPP/Denominator for those providers?

      2. NUMERATOR: For numerator credit do these measures require the provider performing the functional assessment be the same provider who performed the surgery?

            edave Mathematica EC eCQM Team
            elissa Elissa Chandler (Inactive)
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