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  2. CQM-6648

Quesiton about eCQM exclusion

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    • Erin Czaplicki
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      Thank you for your inquiry for CMS156v12: Use of High-Risk Medications in Older Adults. To appropriately determine whether a service is for hospice or palliative care, please see below the list of value sets and direct reference codes for hospice and palliative care:
      Hospice:
      "Encounter Inpatient": '2.16.840.1.113883.3.666.5.307'
      "Hospice Care Ambulatory": '2.16.840.1.113883.3.526.3.1584'
      "Hospice Diagnosis": '2.16.840.1.113883.3.464.1003.1165'
      "Hospice Encounter": '2.16.840.1.113883.3.464.1003.1003'
      "Discharge to healthcare facility for hospice care (procedure)": '428371000124100'
      "Discharge to home for hospice care (procedure)": '428361000124107'
      "Hospice care [Minimum Data Set]": '45755-6'
      Palliative Care:
      "Palliative Care Diagnosis": '2.16.840.1.113883.3.464.1003.1167'
      "Palliative Care Encounter": '2.16.840.1.113883.3.464.1003.101.12.1090'
      "Palliative Care Intervention": '2.16.840.1.113883.3.464.1003.198.12.1135'
      "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)": '71007-9'

      The National Library of Medicine, in collaboration with CMS, maintains the Value Set Authority Center (VSAC). The VSAC provides downloadable access to all official versions of value set content contained in the eCQM specifications. The value sets can be access at https://vsac.nlm.nih.gov/. A free account may be obtained through the UMLS Terminology Services (UTS). You can sign up via this site: https://uts.nlm.nih.gov/uts/signup-login.
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      Thank you for your inquiry for CMS156v12: Use of High-Risk Medications in Older Adults. To appropriately determine whether a service is for hospice or palliative care, please see below the list of value sets and direct reference codes for hospice and palliative care: Hospice: "Encounter Inpatient": '2.16.840.1.113883.3.666.5.307' "Hospice Care Ambulatory": '2.16.840.1.113883.3.526.3.1584' "Hospice Diagnosis": '2.16.840.1.113883.3.464.1003.1165' "Hospice Encounter": '2.16.840.1.113883.3.464.1003.1003' "Discharge to healthcare facility for hospice care (procedure)": '428371000124100' "Discharge to home for hospice care (procedure)": '428361000124107' "Hospice care [Minimum Data Set]": '45755-6' Palliative Care: "Palliative Care Diagnosis": '2.16.840.1.113883.3.464.1003.1167' "Palliative Care Encounter": '2.16.840.1.113883.3.464.1003.101.12.1090' "Palliative Care Intervention": '2.16.840.1.113883.3.464.1003.198.12.1135' "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)": '71007-9' The National Library of Medicine, in collaboration with CMS, maintains the Value Set Authority Center (VSAC). The VSAC provides downloadable access to all official versions of value set content contained in the eCQM specifications. The value sets can be access at https://vsac.nlm.nih.gov/ . A free account may be obtained through the UMLS Terminology Services (UTS). You can sign up via this site: https://uts.nlm.nih.gov/uts/signup-login .
    • CMS0156v12

      I am looking for information about what specifically is considered hospice services and palliative care.  This is in reference to the exclusion in the eCQM MIPS measure quality ID#238 Use of high risk medications in the elderly.

            edave Mathematica EC eCQM Team
            eczaplicki Erin Czaplicki
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