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  2. CQM-7131

Satisfying CMS 131 - Diabetes Eye Exam

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • emily haylett
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      Thank you for your inquiry for CMS131v12: Diabetes: Eye Exam. To meet the numerator requirements for this measure patients must have had an eye screening for diabetic retinal disease. As stated in the guidance section of the measure specification: “The eye exam must be performed by an ophthalmologist or optometrist, or there must be evidence that fundus photography results were read by a system that provides an artificial intelligence (AI) interpretation.” This would mean that patient reported eye exams would not be able to satisfy the numerator criteria for this measure. Please refer to the eCQI resource center (https://ecqi.healthit.gov/qdm) for more information on the QDM measure specification.
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      Thank you for your inquiry for CMS131v12: Diabetes: Eye Exam. To meet the numerator requirements for this measure patients must have had an eye screening for diabetic retinal disease. As stated in the guidance section of the measure specification: “The eye exam must be performed by an ophthalmologist or optometrist, or there must be evidence that fundus photography results were read by a system that provides an artificial intelligence (AI) interpretation.” This would mean that patient reported eye exams would not be able to satisfy the numerator criteria for this measure. Please refer to the eCQI resource center ( https://ecqi.healthit.gov/qdm ) for more information on the QDM measure specification.
    • CMS0131v12
    • Our team is in progress of building the Diabetes Eye Exam measure and are looking to accurately capture these exams

      As we build this measure, are patient reported eye exams acceptable to satisfy the measure? 

            edave Mathematica EC eCQM Team
            Haylett emily haylett (Inactive)
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