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  2. CQM-1727

CMS153v3: Denominator Exclusion Criteria

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Elissa Chandler
    • 267-725-5354
    • NextGen Healthcare
    • Thank you for your question. The pregnancy test should occur within the 7 days before the med is administered or x-ray performed. The intent is to check whether the patient is pregnant before you give her that medication or perform an x-ray.
    • CMS153v3/NQF0033
    • High, impacts CQM updates.

      QUESTION CMS 153v3:

      In the Denominator Exclusions, it states “Women who received a pregnancy test solely as a safety precaution before ordering an x-ray or specified medications” and the logic states:

      Denominator Exclusions =
      AND: "Occurrence A of Laboratory Test, Order: Pregnancy Test" during "Measurement Period"
      AND:
      OR: "Medication, Order: Isotretinoin"
      OR: "Diagnostic Study, Order: X-Ray Study (all inclusive)"
      <= 7 day(s) starts after end of "Occurrence A of Laboratory Test, Order: Pregnancy Test"

      To meet Denominator Exclusions, should the Order Date for Isotretinoin Medication or Diagnostic X-Ray Study within 7 days BEFORE or AFTER Occurrence A of Pregnancy Test Order Date?

            edave Mathematica EC eCQM Team
            elissa Elissa Chandler (Inactive)
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