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  1. eCQM Issue Tracker
  2. CQM-6965

Question about logic for MIPS Quality Measure eCQM 238 // CMS 156

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    • Emily Lang
    • Verana Health
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      Hello and thank you for your inquiry. Unfortunately, this ticket is out of scope for the eCQM Issue Tracker. Your question has been redirected to the QualityNet Service Desk, and the following ticket has been opened for you:

      {CS2238451}

      You will be contacted by their team and assigned a customer service representative who will work to resolve your inquiry. We are closing this ticket now. Please let us know if you have any additional questions about eCQM logic or specifications.
      Show
      Hello and thank you for your inquiry. Unfortunately, this ticket is out of scope for the eCQM Issue Tracker. Your question has been redirected to the QualityNet Service Desk, and the following ticket has been opened for you: {CS2238451} You will be contacted by their team and assigned a customer service representative who will work to resolve your inquiry. We are closing this ticket now. Please let us know if you have any additional questions about eCQM logic or specifications.
    • CMS0156v12
    • Impacts measure implementation of eCQM 238 // CMS 156 at Verana Health for the 2024 performance period

      eCQM 238 (Use of High-Risk Medications in Older Adults)

      Context: eCQM 238 requires the use of supply, dosage, and frequency to determine whether or not a patient qualifies for the numerator. Because this is an inverse measure, we want to ensure that practices are not given a better score for this measure if we are unable to evaluate numerator criteria fully due to missing or incomplete medications data.
       
      Question: If a patient meets the denominator criteria for this measure, but they do not have sufficient data to be evaluated for the numerator, can we by default include the patient in the numerator to avoid overcounting patients in numerator not met for this inverse measure?
      In other words, we are looking for guidance around whether or not it is appropriate to credit a practice/provider for this measure (exclude patient from numerator since it's an inverse measure) due to a lack of complete medication data from an EHR.
       
      Thank you in advance for your consideration, and do not hesitate to reach out if additional information is needed.
       
      Emily Lang
      Verana Health

       

      NOTE - this is a duplicate of https://oncprojectracking.healthit.gov/support/browse/MSS-27. I accidentally filed this question on the MSS board before filing on the CQM board

            edave Mathematica EC eCQM Team
            emily.lang Emily Lang
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