Query with regards to CMS159v4

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Done
    • Priority: Blocker
    • Component/s: Measure
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      Based on the logic for this version of this measure, the index visit may actually occur from December 2 (2013 if the measurement year is 2015) through January 31 of the current measurement year. Please note, the logic for the index visit was updated in version 5 (for the 2017 Performance Period) to restrict the index visit to occur January 1 through December 31 of the prior year to align with the intent of the measure.

      Yes, the depression screening must occur during the encounter. A qualifying encounter must be a face to face with a provider, therefore, the telephonic encounter you suggested on 5/22/2014 would not be eligible as an index visit. If you consider the 5/22/2014 encounter as a face-to-face encounter with a PHQ-9 score of 10, then this encounter would be included as an eligible index visit.
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      Based on the logic for this version of this measure, the index visit may actually occur from December 2 (2013 if the measurement year is 2015) through January 31 of the current measurement year. Please note, the logic for the index visit was updated in version 5 (for the 2017 Performance Period) to restrict the index visit to occur January 1 through December 31 of the prior year to align with the intent of the measure. Yes, the depression screening must occur during the encounter. A qualifying encounter must be a face to face with a provider, therefore, the telephonic encounter you suggested on 5/22/2014 would not be eligible as an index visit. If you consider the 5/22/2014 encounter as a face-to-face encounter with a PHQ-9 score of 10, then this encounter would be included as an eligible index visit.
    • CMS159v4/NQF0710

      Following are our queries related to CMS159v4.

      1) What is the index measurement period for the measure, i.e. is it between 1st December,2013 to 30th November,2014 for the 2015 measurement year?

      2) Should the PHQ-9 assessment occur during an encounter only?
      For e.g. if there was an assessment done with a score 9 during an office visit which occurred on 2nd Jan,2014 wherein 2015 is the measurement year and there was another assessment with a score 10 during a telephonic encounter which occurred on 22nd May,2014, then will the 22nd May record be considered as a valid index score?

      Request you to help us out with our queries listed above.

            Assignee:
            Mathematica EC eCQM Team (Inactive)
            Reporter:
            Doha Hatodkar (Inactive)
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              Created:
              Updated:
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