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EC eCQMs - Eligible Clinicians
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Resolution: Answered
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Moderate
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None
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None
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Lauren Kish
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703-328-1759
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Florida Cancer Specialists
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CMS0157v11
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Need to determine eligibility requirements for patients in denominator for eCQM measure 143 submission criteria 2
I am reviewing denominator requirements on eCQM #143: Oncology: Medical and Radiation - Pain Intensity Quantified. I recently opened a ticket to confirm that patients who qualify for submission criteria 2: patients receiving radiation treatment are episode-based criteria. CMS quality measure specifications state that when CPT 77427 is billed, the face-to-face encounter may not occur on DOS that CPT 77427 was billed and there is a lookback period of 6 days prior. Does that same logic apply to CPT codes 77431, 77432, and 77435?