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  1. eCQM Issue Tracker
  2. CQM-6960

Measure population for CMS 138

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Heather Reathaford
    • 509-397-5751
    • Whitman Hospital & Medical Clinics
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      Thank you for your question regarding CMS138v12 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (2024 Performance Period). We confirm that the performance rate is used for benchmarking. For specific inquiries related to program reporting requirements such as benchmarking and data completeness, please refer to the QPP helpdesk. For assistance with QPP related questions, please contact the Quality Payment Program Help Desk E-mail: QPP@cms.hhs.gov and Phone: (866) 288-8292 TTY: (877) 715-6222.
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      Thank you for your question regarding CMS138v12 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (2024 Performance Period). We confirm that the performance rate is used for benchmarking. For specific inquiries related to program reporting requirements such as benchmarking and data completeness, please refer to the QPP helpdesk. For assistance with QPP related questions, please contact the Quality Payment Program Help Desk E-mail: QPP@cms.hhs.gov and Phone: (866) 288-8292 TTY: (877) 715-6222.
    • CMS0138v12

      Seeking assistance with QPP Multi Performance Rate Measure CMS 138 v12 "Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention”

      Reporting as an individual provider

      I have a provider with initial patient population of 34, but only one patient in the denominator for measure #2. 

      If I  understand correctly, measure #1 is used for data completeness and we would meet that.

      Measure #2 is used for performance rate for benchmarking.  Since we only have one patient in the denominator, would I be able to report this measure for this individual provider? 

      See attached screenshot of measure performances. 

        1. image002.png
          image002.png
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        2. CMS 138 measure rates-1.pdf
          37 kB

            edave Mathematica EC eCQM Team
            reathahm Heather
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