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  2. CQM-3666

CMS69v8 Numerator Query

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    • Resolution: Answered
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    • Measure
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      For CMS 69v8, Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan, please follow the measure specifications as written. For this measure, there are three options for a patient to meet the numerator based on the BMI value:

      1) A patient must have the most recent BMI documented 12 months or less on or before the start of the qualifying encounter OR during the qualifying encounter with a normal result, (>=18.5 and < 25 kg/m2).
      2) A patient must have the most recent BMI documented with a “low” result, (< 18.5 kg/m2) and a follow-up encounter for low BMI documented. The low BMI result must be documented 12 months or less on or before the end of the encounter.
      3) A patient must have the most recent BMI documented with a “high result, (>= 25 kg/m2) and a follow-up encounter for high BMI documented. The high BMI result must be documented 12 months or less on or before the end of the encounter.
      Show
      For CMS 69v8, Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan, please follow the measure specifications as written. For this measure, there are three options for a patient to meet the numerator based on the BMI value: 1) A patient must have the most recent BMI documented 12 months or less on or before the start of the qualifying encounter OR during the qualifying encounter with a normal result, (>=18.5 and < 25 kg/m2). 2) A patient must have the most recent BMI documented with a “low” result, (< 18.5 kg/m2) and a follow-up encounter for low BMI documented. The low BMI result must be documented 12 months or less on or before the end of the encounter. 3) A patient must have the most recent BMI documented with a “high result, (>= 25 kg/m2) and a follow-up encounter for high BMI documented. The high BMI result must be documented 12 months or less on or before the end of the encounter.
    • EP
    • CMS69v8/NQF128
    • Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

      Hi Team,

      We have a query related to numerator:

      Numerator
      "Has Normal BMI" is not null
      or "Has High BMI with Follow Up"
      or "Has Low BMI with Follow Up"

      To validate "Has High BMI with Follow Up" & ""Has Low BMI with Follow Up" we
      are checking for "High BMI Follow Up Encounters " & "Low BMI Follow Up Encounters" if it is 12 months or less on or before end of QualifyingEncounter.relevantPeriod
      But
      To validate "Has Normal BMI" we are checking "Most Recent Documented BMI" if it is LastBMI.relevant period starts 12 months or less on or before start of QualifyingEncounter.relevantPeriod

      Now in the above case please confirm all three numerator conditions should be checked for "12 months or less on or before end of QualifyingEncounter.relevantPeriod" OR "12 months or less on or before start of QualifyingEncounter.relevantPeriod"
      OR
      It should be validated differently for "Has High BMI with Follow Up" & ""Has Low BMI with Follow Up & "Has Normal BMI" as given in the measure specification

            edave Mathematica EC eCQM Team
            vinaykumarp Vinay (Inactive)
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