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  2. CQM-6471

eCQM 69 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

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      Thank you for your question regarding CMS69 v11: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan. As you noted, the value set “Referrals Where Weight Assessment May Occur” (OID 2.16.840.1.113883.3.600.1.1527) contains referral codes for the measure and includes the referral types included in your screenshot. The measure logic limits referrals included in the numerator to those where the reason for referral or patient diagnosis is contained in the value set “Overweight or Obese” (OID 2.16.840.1.113762.1.4.1047.502) or the value set “Underweight” (OID 2.16.840.1.113883.3.526.3.1563). You can find the relevant measure logic under “High BMI Interventions Ordered” and “Low BMI Interventions Ordered” in the definitions on the measure specifications page.

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      Thank you for your question regarding CMS69 v11: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan. As you noted, the value set “Referrals Where Weight Assessment May Occur” (OID 2.16.840.1.113883.3.600.1.1527) contains referral codes for the measure and includes the referral types included in your screenshot. The measure logic limits referrals included in the numerator to those where the reason for referral or patient diagnosis is contained in the value set “Overweight or Obese” (OID 2.16.840.1.113762.1.4.1047.502) or the value set “Underweight” (OID 2.16.840.1.113883.3.526.3.1563). You can find the relevant measure logic under “High BMI Interventions Ordered” and “Low BMI Interventions Ordered” in the definitions on the measure specifications page.
    • CMS0069v12
    • The 2023 logic for "Intervention, order: Referrals where weight assessment may occur." is picking up any types of referrals (including referrals that are not related to nutrition or weight loss)

      The 2023 BMI logic is picking up referrals that are not related to nutrition/weight loss.

            edave Mathematica EC eCQM Team
            S0188724 Shuchuan Yang
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