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  2. CQM-7014

Clarification on satisfying Numerator Quality Measure #19 eCQM CMS142v12 Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care.

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    • Missi Thomas
    • 419-677-1839
    • Medical Advantage - on behalf of Cincinnati Eye Institute
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      Thank you for your inquiry on CMS142v12, Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care.

      The measure requires documentation in the medical record indicating that the findings of the dilated macular or fundus exam were communicated (e.g., by letter) with the clinician managing the patient’s ongoing diabetic care and does not require documentation of laterality, diagnoses, findings, or procedures performed. The findings of the dilated macular or fundus exam of one eye and communication to the physician managing the ongoing diabetes care will satisfy the measure’s numerator.
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      Thank you for your inquiry on CMS142v12, Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care. The measure requires documentation in the medical record indicating that the findings of the dilated macular or fundus exam were communicated (e.g., by letter) with the clinician managing the patient’s ongoing diabetic care and does not require documentation of laterality, diagnoses, findings, or procedures performed. The findings of the dilated macular or fundus exam of one eye and communication to the physician managing the ongoing diabetes care will satisfy the measure’s numerator.
    • Not measure related
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    • Not measure related
    • Not measure related
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    • CMS0142v12
    • Not measure related
    • Not measure related
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      Clarification on satisfying Numerator Quality Measure #19 Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care reporting eCQM CMS142v12
      Opened a ticket with QPP, and they directed us here for an answer to this question.
      Show
      Clarification on satisfying Numerator Quality Measure #19 Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care reporting eCQM CMS142v12 Opened a ticket with QPP, and they directed us here for an answer to this question.

      I have a unique situation that was brought to my attention, and I wanted to reach out for clarification. This is regarding Quality Measure #19 Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care, reporting eCQM CMS142v12. We have several retinal specialists in our practice who see diabetic patients to treat their retinopathy, however, these specific patients receive their yearly diabetic eye exams from another doctor outside of our practice. With the patient's retinopathy only being in one eye, our physicians are just dilating that one eye at all their visits. Of course, this is prompting a diabetic letter, since they have the active diagnosis, we would like confirmation that if we send a letter with having just one eye dilated will this cause us to fail the measure? I have reviewed the Quality Measure sheet and nowhere in the documentation does it mention that both eyes must be dilated to successfully meet this measure. Please confirm if dilating one eye will suffice for those patients having retinopathy in only one eye.  

            edave Mathematica EC eCQM Team
            mthomas3184 Missi Thomas (Inactive)
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