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  2. CQM-6560

CMS69v11 BMI Reporting for UDS 2023 FQHCs - How to exclude Dental and Behavioral patients?

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Priscilla Pamela
    • 7864264623
    • Care Resource Community Health Centers, Inc.
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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 “Encounter to Evaluate BMI" (2.16.840.1.113883.3.600.1.1751) includes the denominator codes for the measure and does contain the codes you listed. Thank you for sharing the impact of the denominator codes on your group. We will re-evaluate the measure criteria with our Expert Work Group during the next annual update.
      Show
      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 “Encounter to Evaluate BMI" (2.16.840.1.113883.3.600.1.1751) includes the denominator codes for the measure and does contain the codes you listed. Thank you for sharing the impact of the denominator codes on your group. We will re-evaluate the measure criteria with our Expert Work Group during the next annual update.
    • Not measure related
    • Not measure related
    • CMS0069v12
    • Not measure related
    • Not measure related
    • CMS0069v11
    • Not measure related
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      This will bring into the Denominator for UDS 2023 reporting mandated by HRSA a SIGNIFICANT number of patients that come to our health center (~35% or ~8000 patients) that come for visits where obtaining a BMI is not part of the care/triage (Dental and Behavioral Health visits).
      Show
      This will bring into the Denominator for UDS 2023 reporting mandated by HRSA a SIGNIFICANT number of patients that come to our health center (~35% or ~8000 patients) that come for visits where obtaining a BMI is not part of the care/triage (Dental and Behavioral Health visits).

      The UDS 2023 Manual and FACHC training happening on 11-02-2023 states that for the denominator of the Adult BMI eCQM CMS 69v11 will include patients that had Dental Visits and Behavioral Health Visits (OID 2.16.840.1.113883.3.600.1.1751 which includes codes for visits such as the ones outlined below).

      D3921    decoronation or submergence of an erupted tooth    CDT    2022    2.16.840.1.113883.6.13
      D7111    extraction, coronal remnants - primary tooth    CDT    2022    2.16.840.1.113883.6.13
      D7140    extraction, erupted tooth or exposed root (elevation and/or forceps removal)    CDT    2022    2.16.840.1.113883.6.13
      D7210    extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated    CDT    2022    2.16.840.1.113883.6.13
      D7220    removal of impacted tooth - soft tissue    CDT    2022    2.16.840.1.113883.6.13
      D7230    removal of impacted tooth - partially bony    CDT    2022    2.16.840.1.113883.6.13
      D7240    removal of impacted tooth - completely bony    CDT    2022    2.16.840.1.113883.6.13
      D7241    removal of impacted tooth - completely bony, with unusual surgical complications    CDT    2022    2.16.840.1.113883.6.13
      D7250    removal of residual tooth roots (cutting procedure)    CDT    2022    2.16.840.1.113883.6.13
      D7251    coronectomy - intentional partial tooth removal    CDT    2022    2.16.840.1.113883.6.13

        1. 2_2023-uds-manual (1).pdf
          2.66 MB
        2. 4_2023AnnualUniformDataSystemTraining (1).pdf
          3.54 MB
        3. EncounterToEvaluateBMI.xlsx
          63 kB

            edave Mathematica EC eCQM Team
            ppamela Priscilla Pamela (Inactive)
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