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  1. eCQM Issue Tracker
  2. CQM-2525

Without these we have very few options as to quality measures to track and report for our physicians.

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Done
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    • Donna Hofer
    • 630-286-4116
    • RML Specialty Hospital
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      ​CMS has determined that the measures in question, in particular measures with follow up, are not appropriate for the hospital setting/encounters. The addition of the suggested CPT codes could inappropriately place patients and attributing doctors into the measures.

      CMS would welcome additional input on this issue through the upcoming rule making public comment cycle.
      Show
      ​CMS has determined that the measures in question, in particular measures with follow up, are not appropriate for the hospital setting/encounters. The addition of the suggested CPT codes could inappropriately place patients and attributing doctors into the measures. CMS would welcome additional input on this issue through the upcoming rule making public comment cycle.
    • CMS165v5/NQF0018, CMS164v5/NQF0068, CMS145v5/NQFna, CMS135v5/NQF2907, CMS69v5/NQF0421, CMS50v5/NQFna, CMS22v5/NQFna
    • CMS147v5/NQF0041
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      We are a Long-Term Acute Care Hospital and would like CPT codes 99221-99223, 99231-99233, 99238-99239, 99291-99292 added to the following MIPS QMs:
      • Measure 326: Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy
      • Measure 204: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
      • Measure 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
      • Measure 110: Preventive Care and Screening: Influenza Immunization
      • Measure 374: Closing the Referral Loop: Receipt of Specialist Report
      • Measures 154 & 155: Falls Plan of Care and Falls Risk Assessment
      • Measure 331: Controlling High Blood Pressure
      • Measure 317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
      Show
      We are a Long-Term Acute Care Hospital and would like CPT codes 99221-99223, 99231-99233, 99238-99239, 99291-99292 added to the following MIPS QMs: • Measure 326: Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy • Measure 204: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet • Measure 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan • Measure 110: Preventive Care and Screening: Influenza Immunization • Measure 374: Closing the Referral Loop: Receipt of Specialist Report • Measures 154 & 155: Falls Plan of Care and Falls Risk Assessment • Measure 331: Controlling High Blood Pressure • Measure 317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

      For some reason, the MIPS quality measures seem to ignore hospital-based physicians that are seeing inpatients. There are very few available inpatient CPT codes for our physicians in a long-term acute care hospital (LTACH). This would impact the almost 400 other LTACHs in the country.

            edave Mathematica EC eCQM Team
            RMLVince Vincent S. Vitali (Inactive)
            Penny Osmon Bahr (Inactive), Vincent S. Vitali (Inactive)
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