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  2. CQM-7134

CMS 154-URI

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Jenna N Sharkey
    • (667) 217-6491
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      Thank you for your inquiry about CMS154v12. The intent of the measure is to look for an active diagnosis of URI during a visit in the measurement period. In your example, the URI Diagnosis is active from 2014. Although the diagnosis occurred outside the measurement period, it meets the criteria of "URI.prevalencePeriod overlaps before QualifyingEncounter.relevantPeriod" because the diagnosis is still active during a visit in the measurement period. We hope this helps.
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      Thank you for your inquiry about CMS154v12. The intent of the measure is to look for an active diagnosis of URI during a visit in the measurement period. In your example, the URI Diagnosis is active from 2014. Although the diagnosis occurred outside the measurement period, it meets the criteria of "URI.prevalencePeriod overlaps before QualifyingEncounter.relevantPeriod" because the diagnosis is still active during a visit in the measurement period. We hope this helps.
    • CMS0154v12
    • CMS 154-Appropriate Treatment of URI; Diagnosis of URI is being used if it is active on the problem list even if the diagnosis happened outside the measurement period.

      A URI Diagnosis active from 2014 remains on the patients problem list. Encounters from 2024 are being included in the measure utilizing this diagnosis since the measure logic states the 'URI.prevalancePeriod' overlaps before 'QualifyingEncounter.relevantPeriod'. Is the intent of the measure to utilize a diagnosis that was historically given and active on the problem list?

            edave Mathematica EC eCQM Team
            Sharkey32 Jenna N Sharkey
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