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  1. eCQM Issue Tracker
  2. CQM-6690

Need clarification on payer.

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
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      Thank you for your question regarding CMS68v12 Documentation of Current Medications in the Medical Record. This measure captures all insurances/payers for qualifying encounters that fulfill measure requirements. While the measure does capture payer as a supplemental data element, there are no requirements that a patient have a given insurance or payer to be captured in the measure.

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      Thank you for your question regarding CMS68v12 Documentation of Current Medications in the Medical Record. This measure captures all insurances/payers for qualifying encounters that fulfill measure requirements. While the measure does capture payer as a supplemental data element, there are no requirements that a patient have a given insurance or payer to be captured in the measure.
    • CMS0068v13

      Do patients need to have Medicare, Medicaid, or Other (Typology) primary payer insurance to meet the eCQM criteria? Alternatively, does having secondary or tertiary insurance from these specified typolgies, still fulfill the criteria? or we need to check the primary insurance only for fulfilling the criteria?

            edave Mathematica EC eCQM Team
            Mujtaba Mujtaba Hussayn (Inactive)
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