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  2. CQM-6562

BMI Ratio and Height Requirements

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    • Salma Basnet
    • NCQA
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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 measure logic does not require reporting of patient height and weight to fulfil measure requirements. The guidance you cited is a note to clinicians that BMIs should be generated from heights and weights measured during the measurement period, and not historical or patient-reported data. The use of height data documented outside the measurement period would not align with that guidance.

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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 measure logic does not require reporting of patient height and weight to fulfil measure requirements. The guidance you cited is a note to clinicians that BMIs should be generated from heights and weights measured during the measurement period, and not historical or patient-reported data. The use of height data documented outside the measurement period would not align with that guidance.
    • CMS0069v11

      In the Numerator definition and logic specifications, the BMI data required is documented BMI [Ratio] during the measurement period. The guidance section contains inconsistent language: "both height and weight must be measured during the measurement period." CMS69 Terminology does not contain LOINC codes for individual heights and weights, only a BMI Ratio LOINC (39156-5). Our health system has an age-specific acceptable look-back period for BMI ratio calculation and a small proportion of our BMI ratios have a height that was documented in the previous measurement period. We are seeking confirmation that a BMI ratio in the measurement period is Numerator compliant for a BMI within normal parameters. Thank you.

            edave Mathematica EC eCQM Team
            sbasnet Salma (Inactive)
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