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  2. CQM-5886

Need clarification related to the most recent Qualifying BMI encounter

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      ​​Thank you for your inquiry regarding CMS69v10: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan. If there are multiple qualifying encounters, the most recent qualifying encounter is used to meet measure intent. Only a follow-up plan that is documented on the same day or within 12 months after the latest BMI will meet the numerator criteria.

      As indicated in the logic, documentation of denominator exceptions must be on the same day as the qualifying encounter. Therefore, in the scenario that you have outlined, the patient would fail the measure, since the medical or patient reason for not performing the BMI exam was not documented on the same day as the most recent qualifying encounter.
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      ​​Thank you for your inquiry regarding CMS69v10: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan. If there are multiple qualifying encounters, the most recent qualifying encounter is used to meet measure intent. Only a follow-up plan that is documented on the same day or within 12 months after the latest BMI will meet the numerator criteria. As indicated in the logic, documentation of denominator exceptions must be on the same day as the qualifying encounter. Therefore, in the scenario that you have outlined, the patient would fail the measure, since the medical or patient reason for not performing the BMI exam was not documented on the same day as the most recent qualifying encounter.
    • CMS0069v10

      1. If you have multiple Qualifying Encounter during the Measurement Period, what determines which Qualifying Encounter is used for inclusion?

       

      1. Qualifying Encounter in June 2022 (with BMI & documented denominator exception) and the most recent BMI in Oct. 2022 with a Qualifying Encounter on the same date (No Denominator exception documented)                                                                                                                                                                                                               Can the June 2022 Qualifying Encounter (Not most recent Qualifying Encounter) be used for inclusion and to satisfy denominator exception?

            edave Mathematica EC eCQM Team
            Tallred Tara Allred (Inactive)
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