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  1. eCQM Issue Tracker
  2. CQM-6093

Clarification on CMS-68

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
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      For CMS68v13: Documentation of Current Medications in the Medical Record, "attest" means that the eligible clinician confirms in the EHR that the patient's current medications have been documented, updated, or reviewed on the encounter date. The process for a clinician to document this attestation differs by EHR and workflow. However, the SNOMED CT code "Documentation of current medications (procedure)" ("SNOMEDCT Code (428191000124101)") is used to evaluate if numerator criteria is met. Value set information for this measure is available through the Value Set Authority Center (VSAC) website: https://vsac.nlm.nih.gov/. Only a MIPS eligible clinician can attest to the documentation of medications, but they do not necessarily need to be the clinician who documents current medications during the encounter.
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      For CMS68v13: Documentation of Current Medications in the Medical Record, "attest" means that the eligible clinician confirms in the EHR that the patient's current medications have been documented, updated, or reviewed on the encounter date. The process for a clinician to document this attestation differs by EHR and workflow. However, the SNOMED CT code "Documentation of current medications (procedure)" ("SNOMEDCT Code (428191000124101)") is used to evaluate if numerator criteria is met. Value set information for this measure is available through the Value Set Authority Center (VSAC) website: https://vsac.nlm.nih.gov/ . Only a MIPS eligible clinician can attest to the documentation of medications, but they do not necessarily need to be the clinician who documents current medications during the encounter.
    • CMS0068v13

      For CMS-68 (Documentation of Current Medications in the Medical Record), what does the action “attest” mean as far as attesting to documenting, updating, or reviewing the patient’s current medications

       

      Does it equate to the Eligible Clinician’s submission of the QRDA III file to QPP where it reflects his numerator/denominator/exclusion performance for CMS-68?

       

      Or does it specifically equate to a name stamp in the EHR system that indicates the Eligible Clinician performed the reviewing of the current medications? 

       

      If a RN, MA or support staff performed the medication review on behalf of the Eligible Clinician (but under his guidance), should the Eligible Clinician still receive credit for satisfying this measure?

       

      In an event of an audit, would an auditor judge the action of "attest" to be the submission of the eCQM data (via QRDA III) or would the auditor specifically look to who reviewed the med list (i.e. name stamp on the EHR)?

            edave Mathematica EC eCQM Team
            arelingado Adrian Relingado (Inactive)
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