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  1. eCQM Issue Tracker
  2. CQM-6488

MIPS Once per year measures

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    • Icon: OQR eCQMs - Outpatient Quality Reporting OQR eCQMs - Outpatient Quality Reporting
    • Resolution: Answered
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    • Kaitlyn Nicole Faircloth
    • 5163703634
    • North American Partners in Anesthesia
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      Thank you for your inquiry for eCQM collection type, CMS138v11 (QID 226) (Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention). For CMS138v11, a qualifying denominator encounter will be evaluated based on the following measure requirement: 'at least two visits or at least one preventive visit during the measurement period'.

      MIPS 155 is a Clinical Quality Measure and cannot be addressed in this forum.

      Thank you for your question regarding CMS69v11: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan. If more than one BMI is reported for a patient during the measurement period, and any of the documented BMI assessments is outside of normal parameters, documentation of an appropriate follow-up plan will be used to determine if performance has been met for the measure. You can review the measure specifications for CMS69v11 here.
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      Thank you for your inquiry for eCQM collection type, CMS138v11 (QID 226) (Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention). For CMS138v11, a qualifying denominator encounter will be evaluated based on the following measure requirement: 'at least two visits or at least one preventive visit during the measurement period'. MIPS 155 is a Clinical Quality Measure and cannot be addressed in this forum. Thank you for your question regarding CMS69v11: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan. If more than one BMI is reported for a patient during the measurement period, and any of the documented BMI assessments is outside of normal parameters, documentation of an appropriate follow-up plan will be used to determine if performance has been met for the measure. You can review the measure specifications for CMS69v11 here.
    • CMS0068v12, CMS0069v11, CMS0138v11, CMS0139v11

      Hi! I am requesting clarification on three specific MIPS measures that state they must be collected "at least once per performance period". MIPS 128 does state that the most recent BMI should be accepted for these patients, however MIPS 226 and MIPS 155 do not have this same verbiage. Specifically, I am asking if the measures stating they must be submitted "at least once per performance period": 1) Will evaluate ALL encounters in the reporting denominator (decreasing reporting rate since only reported once per that period) 2) Will only evaluate ONE encounter since the measure is "at least" once per performance period. I am concerned that our clinicians may be penalized for each encounter, even though the specifications state they should be submitted "at least once per performance period". Thank you, Kaitlyn

       

      I initially put in a ticket with the QPP and they suggested I open the task here.

            edave Mathematica EC eCQM Team
            kfaircloth Kaitlyn Faircloth (Inactive)
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