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  1. eCQM Issue Tracker
  2. CQM-4923

eCQM Measure: Preventive Screening: Screening for Elevated Blood Pressure an Follow up

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    • Icon: EC eCQMs EC eCQMs
    • Resolution: Answered
    • Icon: Moderate Moderate
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    • Tammy Todd, CRNP, Senior Manager of Quality
    • 717-873-1125
    • MinuteClinic CVS
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      Thank you for your inquiry related to the CMS22 (Preventive Care and Screening: Screening for High Blood Pressure and Follow Up Documented). We understand from the ticket that MinuteClinic would like to explore the ability to "exclude" COVID only testing office visit types for the eCQM data submission for 2021 data. The PY2021 and PY2022 measures are published and final. Therefore, revisions to incorporate additional denominator exclusions is not possible for either year.

      The qualifying encounter codes for the CMS22 measure represent services that include patient assessments ('Encounter to Screen for Blood Pressure' (2.16.840.1.113883.3.600.1920). The option to exclude a subset of qualifying encounters because the assessment for the quality action is incomplete is not possible. Furthermore, CPT codes that correspond to swab testing are not included in the CMS22 measure as qualifying encounters (99211, 99000, 99001).
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      Thank you for your inquiry related to the CMS22 (Preventive Care and Screening: Screening for High Blood Pressure and Follow Up Documented). We understand from the ticket that MinuteClinic would like to explore the ability to "exclude" COVID only testing office visit types for the eCQM data submission for 2021 data. The PY2021 and PY2022 measures are published and final. Therefore, revisions to incorporate additional denominator exclusions is not possible for either year. The qualifying encounter codes for the CMS22 measure represent services that include patient assessments ('Encounter to Screen for Blood Pressure' (2.16.840.1.113883.3.600.1920). The option to exclude a subset of qualifying encounters because the assessment for the quality action is incomplete is not possible. Furthermore, CPT codes that correspond to swab testing are not included in the CMS22 measure as qualifying encounters (99211, 99000, 99001).
    • CMS0022v10
    • Reduction in quality score due to impact of Office Visit COVID testing encounters bulked into the Denominator equation for the above measure.

      MinuteClinic CVS has supported the national need for community based testing for COVID-19 by creating KIOSK sites to complete COVID POCT at all MinuteClinic locations throughout the nation. Meeting this community and population health need was imperative to supporting patients throughout each of our communities through providing easy access to COVID POCT to support the pandemic response to COVID-19.  This COVID testing model did not include Blood Pressure evaluation at time of visit.  Therefore, each of the qualifying office encounters are not meeting the necessary requirements for the eCQM measure definition and it is negatively impacting the overall eCQM score for the 2021 quality reporting year.  This is reflected in our current Epic MIPS dashboard which is tied to the Value Set outlined on the qpp site.

            edave Mathematica EC eCQM Team
            tammycrnp Tammy Todd (Inactive)
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