Additional encounter codes for CQM populations

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Done
    • Priority: Moderate
    • Component/s: ValueSet
    • Dawn Lane
    • 6783901384
    • Greenway Health
    • Hide
      ​The respective measure developers will review the appropriateness of these codes during the next annual update cycle for instances where these codes are not already included in the measures. During the review, several stakeholders including clinical experts assist in determining appropriate care settings and encounters to include, given the intent of and quality action described by the measure. Feedback received will inform the decision to include or exclude these coding options in the individual measures. Additionally, we try to maintain consistency of coding options across reporting options where we are able.
      Show
      ​The respective measure developers will review the appropriateness of these codes during the next annual update cycle for instances where these codes are not already included in the measures. During the review, several stakeholders including clinical experts assist in determining appropriate care settings and encounters to include, given the intent of and quality action described by the measure. Feedback received will inform the decision to include or exclude these coding options in the individual measures. Additionally, we try to maintain consistency of coding options across reporting options where we are able.
    • CMS146v6/NQFna, CMS137v6/NQF0004, CMS165v6/NQF0018, CMS156v6/NQF0022, CMS155v6/NQF0024, CMS138v6/NQF0028, CMS125v6/NQF2372, CMS124v6/NQF0032, CMS153v6/NQF0033, CMS130v6/NQF0034, CMS117v6/NQF0038, CMS147v7/NQF0041, CMS127v6/NQFna, CMS166v7/NQF0052, CMS131v6/NQF0055, CMS123v6/NQF0056, CMS122v6/NQF0059, CMS134v6/NQF0062, CMS164v6/NQF0068, CMS154v6/NQF0069, CMS145v6/NQF0070, CMS135v6/NQF0081, CMS144v6/NQF0083, CMS143v6/NQF0086, CMS167v6/NQF0088, CMS142v6/NQF0089, CMS139v6/NQF0101, CMS161v6/NQF0104, CMS128v6/NQF0105, CMS136v7/NQF0108, CMS169v6/NQFna, CMS157v6/NQF0384, CMS129v7/NQF0389, CMS52v6/NQF0405, CMS2v7/NQF0418, CMS68v7/NQF0419, CMS69v6/NQF0421, CMS132v6/NQF0564, CMS133v6/NQF0565, CMS158v6/NQFna, CMS159v6/NQF0710, CMS160v6/NQF0712, CMS75v6/NQFna, CMS177v6/NQF1365, CMS82v5/NQFna, CMS74v7/NQFna, CMS149v6/NQF2872, CMS65v7/NQFna, CMS50v6/NQFna, CMS66v6/NQFna, CMS56v6/NQFna, CMS90v7/NQFna, CMS22v6/NQFna, CMS347v1/NQFna, CMS645v1/NQFna
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      We have customers that have lots of encounter codes in nursing facilities. They normally use CPT codes 99304-99310, 99236, 99315, 99316, 99318, 99324-99328, 99334-99337. Typically, these codes are not included in any of the encounter codes for the CQM requirements. We have noticed that a couple of the SNOMEDCT codes seem to match some of these codes but would like to better understand why these CPT codes are not considered for the CQM populations. Please consider adding these CPT codes to the requirements in the future so that more providers are able to gather the required data for these CQMs. This is for all CQMs, not just a specific one.
      Show
      We have customers that have lots of encounter codes in nursing facilities. They normally use CPT codes 99304-99310, 99236, 99315, 99316, 99318, 99324-99328, 99334-99337. Typically, these codes are not included in any of the encounter codes for the CQM requirements. We have noticed that a couple of the SNOMEDCT codes seem to match some of these codes but would like to better understand why these CPT codes are not considered for the CQM populations. Please consider adding these CPT codes to the requirements in the future so that more providers are able to gather the required data for these CQMs. This is for all CQMs, not just a specific one.

          Assignee:
          Mathematica EC eCQM Team (Inactive)
          Reporter:
          Dawn Lane (Inactive)
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            Created:
            Updated:
            Resolved:
            Solution Posted On: