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  1. eCQM Issue Tracker
  2. CQM-5420

Quality ID 134 documentation question

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    • Icon: HQMF Standards HQMF Standards
    • Resolution: Answered
    • Icon: Moderate Moderate
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    • Laurie Rast
    • 9036690800
    • Paris Family Physicians
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      ​​Thank you for your inquiry regarding CMS2v11: Preventive Care and Screening: Screening for Depression and Follow-Up Plan. Per the measure specifications, the depression screening must occur on the date of the encounter or up to 14 days prior to the date of the encounter, and if applicable, a follow-up plan must be documented on the date of the eligible encounter. The measure guidance states that the depression screening must be reviewed and addressed by the provider, filing the code, on the date of the encounter. Therefore, your EMR vendor's interpretation is correct; the depression screening, and follow-up plan if applicable, must be documented on the date of the encounter in order to meet the numerator criteria.
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      ​​Thank you for your inquiry regarding CMS2v11: Preventive Care and Screening: Screening for Depression and Follow-Up Plan. Per the measure specifications, the depression screening must occur on the date of the encounter or up to 14 days prior to the date of the encounter, and if applicable, a follow-up plan must be documented on the date of the eligible encounter. The measure guidance states that the depression screening must be reviewed and addressed by the provider, filing the code, on the date of the encounter. Therefore, your EMR vendor's interpretation is correct; the depression screening, and follow-up plan if applicable, must be documented on the date of the encounter in order to meet the numerator criteria.
    • CMS0002v11
    • We are interpreting #134 differently than our EMR vendor, Greenway causing our analytics program that we use to report ECQMs for MIPS to not pick up the measure work creating a 0% performance even though we are doing it

      See attached Quality ID information sheet #134  It states that the depression screening is to be performed (not documented) on the date of the encounter or up to 14 days prior. Our EMR vendor analytics tool is not picking up the work we document for this because they state that CMS requires that the screening actually be documented in the chart during the course of the encounter (not just performed but actually documented in the EMR).  Is that correct?  If so, how would a doctor who uses a Transcriptionist workflow to document notes in the EMR after a patient visit ever meet this measure?   In our workflow, we do the Depression Screening and we do document the it on the correct Encounter (date of service) but do so the next day thus the analytics program is not counting the measure completion in the Numerator performance numbers.  I did call the QPP about this and they said they can't interpret the ECQMs and I'd have to contact you.  call #1686916

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            edave Mathematica EC eCQM Team
            laurierast@pfpparis.com Laurie Rast (Inactive)
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