Telehealth Guidance for eCQMs for 2021 Quality Reporting

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
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      ​Thank you for your inquiry. For the 2021 performance period, there are 39 eCQMs that are telehealth-eligible, as identified in the telehealth guidance on the eCQI Resource Center (https://ecqi.healthit.gov/sites/default/files/2021-eCQM-Telehealth-Guidance-Document.pdf). The eCQMs referenced in your question (CMS156v9, CMS165v9, CMS138v9, CMS134v9, CMS130v9, CMS127v9 and CMS68v10) all contain Medicare telehealth-eligible encounter codes, which can be used for in-person or telehealth encounters.

      The eCQM logic and value sets do not differentiate between in-person encounters or telehealth encounters when these "telehealth-eligible" codes are applied. Therefore, it is the eligible professionals' and eligible clinicians' responsibility to make sure they can meet all other aspects of the quality action within the measure specification, including other quality actions that cannot be completed via telehealth.
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      ​Thank you for your inquiry. For the 2021 performance period, there are 39 eCQMs that are telehealth-eligible, as identified in the telehealth guidance on the eCQI Resource Center ( https://ecqi.healthit.gov/sites/default/files/2021-eCQM-Telehealth-Guidance-Document.pdf ). The eCQMs referenced in your question (CMS156v9, CMS165v9, CMS138v9, CMS134v9, CMS130v9, CMS127v9 and CMS68v10) all contain Medicare telehealth-eligible encounter codes, which can be used for in-person or telehealth encounters. The eCQM logic and value sets do not differentiate between in-person encounters or telehealth encounters when these "telehealth-eligible" codes are applied. Therefore, it is the eligible professionals' and eligible clinicians' responsibility to make sure they can meet all other aspects of the quality action within the measure specification, including other quality actions that cannot be completed via telehealth.
    • EP
    • CMS68v10/NQF0419e, CMS127v9/NQFna, CMS130v9/NQFna, CMS134v9/NQFna, CMS138v9/NQF0028e, CMS156v9/NQFna, CMS165v9/NQFna

      This question is for  following  eCQMs :- CMS156v9,CMS165v9, cms138v9, cms134v9, CMS130v9, cms127v9 and cms68v10. There are no explicit references to telehealth services in the measure specifications and few of the telehealth service codes are present in the value sets. Dose that means we need to explicitly check in measure that action in the Denominator and numerator cannot be completed via telehealth?

       

      Referring to below statement from “Telehealth Guidance for Electronic Clinical Quality Measures (eCQMs) for Eligible Professional/Eligible Clinician 2021 Quality Reporting”

       

      Unless otherwise stated in this document, encounters identified with CMS telehealth-eligible codes are eligible for inclusion within the eligible professional/eligible clinician eCQMs for the 2021 performance period, whether the encounter was provided in person or via telehealth.

      please note there may be instances where the quality action cannot be completed during the telehealth encounter by eligible professionals and eligible clinicians. Specifically, telehealth-eligible CPT and HCPCS codes may be included in value sets where the required quality action in the numerator cannot be completed via telehealth.

            Assignee:
            Mathematica EC eCQM Team (Inactive)
            Reporter:
            Sneha Patil (Inactive)
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