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EC eCQMs - Eligible Clinicians
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Resolution: Resolved
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Minor
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None
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You are correct and we are updating the logic in the 2016 annual update to include only dates through June.
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CMS65v5/NQFna
For CMS-65, it is possible for a patient to be in the denominator and be mathematically unable to meet the numerator. By QDM definitions, date granularity is a step function, so the element <= 6 months is equivalent to 7 months minus one day, which in the case of the Initial Population/Denominator, means that an initial encounter (Occurrence A) in the month of July should be counted. However, a patient with Occurrence A in July cannot meet the numerator requirement of a second encounter (Occurrence B) in the measurement period >= 6 months after Occurrence A, which means that such a patient could be included in the denominator but never be included in the numerator.