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Thank you for your inquiry. CMS68 is an episode-based measure and is to be reported for every encounter during the measurement period, requiring the provider to attest to having documented a list of current medications. CMS68, however, does not include provider attribution logic. Therefore, if multiple providers report this measure in a shared EHR, all of the encounters documented by providers in the network in a given measurement period would be used to evaluate whether or not the numerator was met for all providers reporting on that patient for this measure. If measure requirements are met, all providers using the shared EHR will meet measure requirements.
As you note, there may be cases where a shared EHR is used in which other providers may be held accountable for the performance of other providers within the network. In our experience, creating or adding elements to the measure for attribution has been challenging and is still under investigation from a programmatic standpoint given shared EHR structures.
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Thank you for your inquiry. CMS68 is an episode-based measure and is to be reported for every encounter during the measurement period, requiring the provider to attest to having documented a list of current medications. CMS68, however, does not include provider attribution logic. Therefore, if multiple providers report this measure in a shared EHR, all of the encounters documented by providers in the network in a given measurement period would be used to evaluate whether or not the numerator was met for all providers reporting on that patient for this measure. If measure requirements are met, all providers using the shared EHR will meet measure requirements.
As you note, there may be cases where a shared EHR is used in which other providers may be held accountable for the performance of other providers within the network. In our experience, creating or adding elements to the measure for attribution has been challenging and is still under investigation from a programmatic standpoint given shared EHR structures.