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  2. CQM-6268

Simple question about CMS 68 capture

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    • Resolution: Answered
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    • Gary R. Meadows
    • 9105928511
    • Sampson Regional Medical Center
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      Thank you for your inquiry regarding CMS68 v12: Documentation of Current Medications in the Medical Record. Your interpretation of the measure’s numerator and denominator is correct: they are encounter/visit-based and not patient-based, as in, each qualifying encounter counts once in the denominator and each time the numerator action is performed at the visit counts once in the numerator. The measure is not pass/fail for a patient’s entire visit history during the reporting year. You can review the detailed specifications for this measure here (https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS68v12.html).

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      ​ Thank you for your inquiry regarding CMS68 v12: Documentation of Current Medications in the Medical Record. Your interpretation of the measure’s numerator and denominator is correct: they are encounter/visit-based and not patient-based, as in, each qualifying encounter counts once in the denominator and each time the numerator action is performed at the visit counts once in the numerator. The measure is not pass/fail for a patient’s entire visit history during the reporting year. You can review the detailed specifications for this measure here ( https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS68v12.html ).
    • CMS0068v12

      I have questions regarding the recording of the numerator and denominator for CMS68: Documentation of Current Medications in the Medical Record. Our vendor has told us that the measure indicates for the 2023 reporting year that the medications must be reviewed during 100% of the visits for each patient. Otherwise, the measure fails for this patient for the entire year. This would indicate that the denominator is the total of the unique patient population for the entire year. Our interpretation for this measure is that the denominator is the total visit count as follows: that each visit during the year is counted in the denominator, so a patient could have 5 visits during the period and if the medications are listed and reviewed during four of those visits, but not during one of them, that would cause the numerator to increase by 4, while the denominator would increase by 5 (4/5). In the vendor's scenario, the denominator would only increase by one for this patient and the numerator would not increase at all (0/1). Can you please provide clarity regarding the way this measure is calculated, so that I can make sure we are calculating the measure correctly?

            edave Mathematica EC eCQM Team
            garyrmeadows Gary R. Meadows (Inactive)
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