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  2. CQM-6606

Can a specialty outpatient physician report on CMS 155?

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Andrew Kurecki
    • 828 231-0676
    • Allergy Partners
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      Thank you for your question regarding the Initial Population/Denominator criteria for CMS155v11 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents. The intent of this measure is to look for encounters performed by primary care providers (PCPs) or obstetrician/gynecologists (OB/GYNs) in the Initial Population. As stated in the measure logic, visits that meet the requirements for the Initial Population are those associated with any codes listed in the value sets specified in the "Qualifying Encounters" definition. PCPs and OB/GYNs who bill the corresponding visit codes are considered eligible for the measure. The term 'PCP' refers to who your organization allows to be PCPs, but can encompass primary care physicians, pediatricians, nurse practitioners, and other healthcare professionals who provide primary care services. On the other hand, 'OB/GYN' refers exclusively to obstetricians and gynecologists. For further information on eCQM specifications, please refer to the eCQI resource center at https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=0.
      Show
      Thank you for your question regarding the Initial Population/Denominator criteria for CMS155v11 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents. The intent of this measure is to look for encounters performed by primary care providers (PCPs) or obstetrician/gynecologists (OB/GYNs) in the Initial Population. As stated in the measure logic, visits that meet the requirements for the Initial Population are those associated with any codes listed in the value sets specified in the "Qualifying Encounters" definition. PCPs and OB/GYNs who bill the corresponding visit codes are considered eligible for the measure. The term 'PCP' refers to who your organization allows to be PCPs, but can encompass primary care physicians, pediatricians, nurse practitioners, and other healthcare professionals who provide primary care services. On the other hand, 'OB/GYN' refers exclusively to obstetricians and gynecologists. For further information on eCQM specifications, please refer to the eCQI resource center at https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=0 .
    • CMS0155v11
    • MIPS quality measure reporting for Asthma and Allergy specialty care.

      Can a non-PCP specializing in Asthma and Allergy report on eCQM 155: 

      Percentage of patients 3-17 years of age who had an outpatient visit with a primary care physician (PCP) or obstetrician/gynecologist (OB/GYN) and who had evidence of the following during the measurement period.

      • Percentage of patients with height, weight, and body mass index (BMI) percentile documentation
      •  Percentage of patients with counseling for nutrition
      • Percentage of patients with counseling for physical activity

            edave Mathematica EC eCQM Team
            amkurecki Andrew Kurecki (Inactive)
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