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  2. CQM-1768

CMS125v4: Discrepancy Description and Criteria Logic

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Icon: Minor Minor
    • Measure
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    • Elissa Chandler
    • 267-725-5354
    • NextGen Healthcare
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      Thank you for your question. Patients who are 69 years of age are included in the initial population. However, we have to choose the "<" operator because of how the QDM calculates the upper age limit.
      The QDM calculates the patient's age at the start of the measurement period. If we chose "<=69 year(s)", then a patient could potentially turn 70 years of age during the measurement year. We need to avoid such a scenario. Choosing "< 69 year(s)" means that the patient would turn 69 on or after January 1 of the measurement year.
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      Thank you for your question. Patients who are 69 years of age are included in the initial population. However, we have to choose the "<" operator because of how the QDM calculates the upper age limit. The QDM calculates the patient's age at the start of the measurement period. If we chose "<=69 year(s)", then a patient could potentially turn 70 years of age during the measurement year. We need to avoid such a scenario. Choosing "< 69 year(s)" means that the patient would turn 69 on or after January 1 of the measurement year.
    • CMS125v4/NQFna
    • CMS126v3/NQF0036
    • High, impacts CQM measure dev

      QUESTION: CMS125v4:

      In CMS125v4, there is a discrepancy between the description and the criteria logic for the age range. In the description, it states that the Initial Population has to be 41-69 years of age while in the logic, it is stating age >= 41 years and age < 69. So according to the logic, Age 69 is NOT included in the Initial Population while the description IS including age 69. Could you please clarify - are we to follow description or criteria logic to capture age correctly?

            edave Mathematica EC eCQM Team
            elissa Elissa Chandler (Inactive)
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