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  2. CQM-6853

Confirmation of "Denominator Exception" Definition

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
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      Thank you for your question about CMS349v6 HIV Screening.

      Per the eCQI Resource Center (https://ecqi.healthit.gov/glossary/denominator-exception), "a denominator exception is any condition that should remove a patient, procedure, or unit of measurement from the denominator of the performance rate, only if the numerator criteria are not met."

      Using an exception for ‘death’ allows for patients meeting both the denominator and numerator criteria who may subsequently die before the end of the measurement period to be included in performance rate calculations.
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      Thank you for your question about CMS349v6 HIV Screening. Per the eCQI Resource Center ( https://ecqi.healthit.gov/glossary/denominator-exception), "a denominator exception is any condition that should remove a patient, procedure, or unit of measurement from the denominator of the performance rate, only if the numerator criteria are not met." Using an exception for ‘death’ allows for patients meeting both the denominator and numerator criteria who may subsequently die before the end of the measurement period to be included in performance rate calculations.
    • CMS0349v6

      For the 'denominator exception' exception in PY7 of this metric, what is the calculation logic? typically exceptions are processed after the numerator, and if not numerator compliant and exception = yes, then the patient is removed from the denominator.

      Is that logic correct for this denominator exception? If not, please clarify.

      Additionally, why is death during MY an exception for this metric instead of an exclusion?|

            edave Mathematica EC eCQM Team
            sbasnet Salma
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