Thank you for your question. You are absolutely right. The patient does meet all of the measure requirements. However, it is important to note that the measure requires the initial encounter to be the ‘FIRST’ encounter in the 185 days after January 1, 2015. That means your index encounter is on 5/15, not 6/19.
The follow up encounter has to be the ‘MOST RECENT’ encounter that takes place 30-180 days after the ‘FIRST’ encounter. The visit on 12/8 takes place 207 days after 5/15 and does not satisfy the requirements for the follow up encounter. However, the visit on 6/19 occurs 35 days after 5/15 and will be considered the follow up encounter for this measure. In short, the visits that take place on 12/8 and 12/22 should have no impact on the outcome of the measure since you already satisfied the measure requirements with the first two visits.
For more information on how the QDM calculates logic with ‘FIRST’ & ‘MOST RECENT’ functions, please review the QDM:
https://ecqi.healthit.gov/system/files/qdm_4_2.pdf
Regarding your concern about reporting a score of ‘0’: This is a PQRS program specific question. Please contact the QualityNet Help Desk by phone at 1-866-288-8912 or by email at
Qnetsupport@sdps.org.