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  2. CQM-6990

Start date more than 12 months ago for medication prescription for CMS69v12

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      Thank you for the question regarding CMS69v12: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan. A medication order that occurs outside the measurement period is not numerator compliant. If the patient has an out of range BMI, the clinician must order one of the referrals, interventions, or medications in the follow-up value sets for the patient during the measurement period to be numerator compliant. This requirement is to ensure that the patient is still actively taking the medication during the measurement period.
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      Thank you for the question regarding CMS69v12: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan. A medication order that occurs outside the measurement period is not numerator compliant. If the patient has an out of range BMI, the clinician must order one of the referrals, interventions, or medications in the follow-up value sets for the patient during the measurement period to be numerator compliant. This requirement is to ensure that the patient is still actively taking the medication during the measurement period.
    • CMS0069v12

      If a patient is actively on a medication in the value set "Medications for Above Normal BMI" (2.16.840.1.113883.3.526.3.1561) and the medication order date is more than 12 months prior to the end of the measurement period should the patient be in the numerator for CMS69v12. There is no end date for the medication. In addition to a yes no answer, can you provide the clinical rationale behind the answer.

            edave Mathematica EC eCQM Team
            akladnitsky Aleksandr Kladnitsky
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