This is regarding the Telehealth exclusion for the 3 eCQMs wherein according to the guidance section, it states Clinical actions cannot be done via telehealth and hence not eligible.

In CMS69v11 (https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS69v11.html), only the Denominator definition states telehealth encounters are ineligible as identified by a new "virtual" class parameter. The CMS69v11 numerator states BMI and the follow-up can be placed anytime during the measurement period.

However, for the Numerator part, ie., BMI recorded or follow-up placed, there is no relation to the telehealth encounter.

Say for example -

1. if a patient has a 1^st encounter marked by a telehealth class (modifier), dated Jan 10^th, then it is not eligible for the measure on the first instance.

For the same patient, another valid encounter dated July 1^st is faced without any telehealth class, then this particular encounter will be eligible and measure qualifies.

If a BMI of normal value is recorded on the date of telehealth ir., Jan 10^th, will this BMI be counted for the numerator evaluation and satisfy the measure?

1. If a patient has a 1^st encounter billed normally with a valid encounter code - dated Jan 20^th and BMI is recorded on Jan 22^nd. Say, another encounter is scheduled as a telehealth dated Jan 30^th and a follow-up order is placed on the same day 30^th Jan, will this be still counted for the numerator as pass?

As the CMS69v11 CQL definition has no clear indication of any conjunction of telehealth and BMI or follow-up intervention.

Kindly clarify.