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  1. eCQM Issue Tracker
  2. CQM-5973

CMS69v10 Primary Care Encounter vs Qualifying Encounters

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Tara Altman
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      ​Thank you for your inquiry regarding CMS69v10: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan. The denominator qualifying encounter must be an eligible encounter with a code in the “Encounter to Evaluate BMI” (2.16.840.1.113883.3.600.1.1751) value set. This qualifying encounter must take place during the measurement year. You can review codes included in the value set on the Value Set Authority Center (VSAC) website at https://vsac.nlm.nih.gov.
      Show
      ​Thank you for your inquiry regarding CMS69v10: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan. The denominator qualifying encounter must be an eligible encounter with a code in the “Encounter to Evaluate BMI” (2.16.840.1.113883.3.600.1.1751) value set. This qualifying encounter must take place during the measurement year. You can review codes included in the value set on the Value Set Authority Center (VSAC) website at https://vsac.nlm.nih.gov .
    • CMS0069v10
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      Good afternoon,

      Our project team received the inquiry below from an external partner regarding the following measure: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan (CMS69v10). We would appreciate any insight your team is able to provide on this inquiry.
      Show
      Good afternoon, Our project team received the inquiry below from an external partner regarding the following measure: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan (CMS69v10). We would appreciate any insight your team is able to provide on this inquiry.

      The initial population criteria states "All patients aged 18 and older on the date of the encounter with at least one eligible encounter during the measurement period". Does this mean the denominator qualifying encounter must be an eligible encounter OR does it mean that the patient must have had an eligible encounter sometime in the measurement year, in addition to the denominator qualifying encounter which is not restricted?

            edave Mathematica EC eCQM Team
            taltman Tara Altman (Inactive)
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